Exfoliative Cheilitis – definition,cause,c/f,D/D,Rx
Definition Exfoliative cheilitis is a chronic inflammatory disorder of the lips.
Clinical features It is characterized by scaling, crusting, and erythema of the vermilion border of the lips. This pattern is repetitive, resulting in yellowish, hyperkeratotic thickening, crusting, and fissuring (Fig.). The lesions are more common in young women, usually persist with variable severity for months or years, and may cause cosmetic problems. The diagnosis is based on the clinical findings.
Differential diagnosis Contact cheilitis, actinic cheilitis.
Treatment Symptomatic. Topical moistening agents and steroids may be helpful. Topical ointment of tacrolimus 0.1% may be helpful.