Exfoliative cheilitis is an inflammatory disease accompanied by a lesion of the red border of the lips. With dry exfoliative cheilitis on the lips formed scales, which in the center are tightly welded to the underlying tissue, and on the periphery, on the contrary, raised. In this case, patients indicate a feeling of dryness, burning. With the exudative form of cheilitis, there is swelling, tenderness of the lips. Diagnosis of exfoliative cheilitis is reduced to collecting complaints, drawing up an anamnesis of the disease, physical examination. For the treatment of exfoliative cheilitis, Bucca rays, moisturizing creams, acupuncture techniques, as well as agents that increase resistance of the body are used.
Causes of exfoliative cheilitis
The main cause of exfoliative cheilitis is considered neurotrophic changes that occur against the background of psychoemotional disorders. Depression, anxiety are the trigger mechanism in the development of the disease. In the course of the research, the scientists also discovered the relationship between the damage to the red border of the lips and the increase in the level of thyroid hormones in the blood. The overwhelming majority of patients with thyrotoxicosis diagnose the moist form of exudative cheilitis.
Symptoms of exfoliative cheilitis
With dry exfoliative cheilitis with the appearance of crusts on the lips there is a feeling of tightness, dryness and burning. Only the red border of the lips is affected by the Klein line. The mucous part of the lip, as well as the skin of the perioral zone, are not involved in the pathological process. In the corners of the mouth and along the line bordering the skin, scales are also not detected. When examining patients with exfoliative cheilitis on the red border of the lips, multiple crusts are revealed, which in the central part are tightly connected with the underlying tissue. When trying to delete them, the hyperemic zone is exposed. The presence of scales creates the sensation of a foreign body, as a result of which a harmful habit is developed in patients to bite the crusts and lick their lips.
Treatment and prognosis of exfoliative cheilitis
When detecting psychoemotional disorders, patients with exfoliative cheilititis are prescribed antidepressants, psychotropic drugs. In case of thyroid dysfunction, the treatment of the underlying disease by the endocrinologist is indicated. Locally used rays Bucca, drugs that increase the resistance of the body. Crusts in dentistry are removed using a solution based on boric acid. An effective method of treating exfoliative cheilitis is acupuncture. In children with dry form of cheilitis, moisturizing creams are used.