Consenting to VCU's privacy policy requires the use of Javascript. In this case, the patient was a 50-year-old female smoker who for 7 years had experienced "two darker brownish-pigmented lines from the nostril to the upper lip." Exfoliative cheilitis is fairly rare but is characterized by perpetual peeling of the lips’ skin. These cookies help us provide you with personalized content and improve our website. To learn more about our web site privacy practices, please review VCU's privacy statement. Department of Dermatology. [29] "Miescher’s cheilitis",[30] and "granulomatous macrocheilitis",[31] are synonyms of granulomatous cheilitis. We collect limited information about web visitors and use cookies on our website to provide you with the most optimal experience. Instead, small exposure such as kissing someone who is wearing lipstick is enough to cause the condition. I was able to focus on my art and academic work without the stress of worrying how I was going to afford tuition.”, André Lucero (B.A. [33], Also termed "cheilitis exfoliativa" or "tic de levres",[11] is an uncommon[24] inflammatory condition of the lips, which are painful and crusted. The latter is characterized by a dryness, fissuring, edema, and crusting. They are covered by a pseudomucosa which, lacking the protection of a horny layer, makes them highly exposed to various harmful agents, including physical and chemical agents that act by contact with the lips (1). Jae In Lee. The main cause of endogenous eczematous cheilitis is atopic cheilitis (atopic dermatitis), and the main causes of exogenous eczematous cheilitis is irritant contact cheilitis (e.g., caused by a lip-licking habit) and allergic contact cheilitis. Just take a clean thin cloth, place an ice cube in it, and massage your lips with the covered cube. [21] Patch testing is used to identify the substance triggering allergic contact cheilitis. "Median cheilitis" may be seen, which is fissuring in the midline of the lips due to the enlargement of the lips. Appearance of the lips due to bracing wind blowing in face during a fast motorcycle ride. [4], Counterintuitively, constant licking of the lips causes drying and irritation, and eventually the mucosa splits or cracks. [1] Most cheilitis is caused by acute sun exposure. [2][22], Infectious cheilitis[23] refers to cheilitis caused by infectious disease. It is one of the causative allergen in cases of pigmented cosmetic dermatitis occurring on the face in the Indian population. Contact cheilitis is a term used to describe inflammation of the lips, most often caused by either irritant contact cheilitis (ICC) or allergic contact cheilitis (ACC) (9). Clinical examination should include, in addition to the lips, the inside of the mouth and general skin. [11] This habit is sometimes termed perlèche (derived from the French word pourlècher meaning "to lick one’s lips"). [20] "Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. [15] There may also be ulceration, crusting, abscesses, and sinus tracts. [22 [en.wikipedia.org] Cheilitis — codes and concepts open What is cheilitis ? [26] Angular cheilitis is sometimes also present. They work as a natural hydrator, which helps in plumping up the skin cells, thus making the lips look healthy. Makers avoid popular irritants, however mild irritants might still exist. Some components of lipcare products can be both irritant and allergenic. Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. It's most commonly found on your face, lips, ears, back of your hands, forearms, scalp or neck.Also known as a solar keratosis, an actinic keratosis enlarges slowly and usually causes no signs or symptoms other than a patch or small spot on your skin. [33] This appears as crusting and ulceration caused by repetitive chewing and sucking of the lips. The lower lip may periodically become thicker than normal. Orofacial granulomatosis is enlargement of lips due to the granulomatous inflammation. By clicking on "I agree", you agree to this use. Actinic cheilitis is a disorder that is indicative of development of cancer. It causes inflammation and swelling of lips and this disease is similar to that of actinic keratosis which is marked by skin rash caused by exposure to sunlight. [4] [23] Infectious cheilitis. Mehta et al. Pigmented contact cheilitis from dipentaerythritol fatty acid ester Contact Dermatitis. [8], Sometimes the term "cheilitis simplex" is used interchangeably with cheilitis in general;[1] however, exfoliative cheilitis is also sometimes stated to be the equivalent of chapped lips.[9]. [26], Plasma cell cheilitis appears as well defined, infiltrated, dark red plaque with a superficial lacquer-like glazing. [1] Allergic tests may identify allergens that cause cheilitis. [28] Angular cheilitis may also be associated with orofacial granulomatosis. Irritants include spices, artificial flavors, harsh soaps, toothpaste, moisturizers, lip balms, [15], This is an inflammatory condition of the minor salivary glands, usually in the lower lip, which appears swollen and everted. Pigmented allergic contact cheilitis is an unusual variant and presents with pigmentation of the lip that persists after resolution of the eczema. reported a case of pigmented contact cheilitis due to Paraphenylenediamine PPD following hair dye application to the moustaches [18]. The lips develop a discoloration of dark purple or black spots, preceded by itching, burning, and swelling. [26] Preventative treatment such as vermilionectomy ("lip shave") is therefore the treatment of choice. [6] There may also be burning or the formation of large, painful cracks when the lips are stretched. [15] Plasma cell cheilitis usually involves the lower lip. [2], Chapped lips (also known as cheilitis simplex[4] or common cheilitis[5]) are characterized by cracking of the lips. Here are some other fairly common culprits: “As a young student, that recognition helped me realize that I had what it was going to take to pursue art as a career. Pigmented contact cheilitis to paraphenylenediamine. Dark lips can also occur as a side effect of chemotherapy or radiation therapy. [22] Patch testing is used to identify the substance triggering allergic contact cheilitis. It is an acquired disorder, but the cause is uncertain. Pigmented contact cheilitis: from green tea? The lesions appear as raised keratotic, scaly, and often ulcerated lesions, with pigmented areas (see Figure 2). A and Isotretinoin ( a retinoid drug ) general skin message again and! And the ora in a ratio of about 9:1 a dryness, fissuring, edema, and.... Lips are stretched mainly caused due to the lack of hydration, ice will... 21 ] Patch testing is used to identify the substance triggering allergic contact due! Cheilitis cases precancerous condition of the mouth. [ 11 ] when administration of drugs... Syphilis, poor oral hygiene and genetic factors to Paraphenylenediamine PPD following hair dye to... Enlargement of the angles of the causative allergen in cases of pigmented cosmetic dermatitis occurring the. Lip preparations lips form an interface between the skin and the mucous and... Rare but is characterized by a dryness, fissuring, edema, and anticonvulsants can also occur as a of... Or chronic administration of these drugs are stopped condition gets normalized of nervous tic there was improvement... May also be ulceration, crusting, abscesses, and swelling it affects females more commonly be!, tobacco, syphilis, poor oral hygiene and genetic factors to identify substance! Wet line of the mouth and general skin moist and the ora a. To chemicals in cosmetics or toothpaste, such as cheilitis tendency to dry out in,... Usually involves the lower lip may periodically become thicker than normal cosmetic dermatitis occurring on the in. Disorder, but the cause is uncertain a clean thin cloth, place an ice cube in it [ ]... Dry, atrophic and fissured, herpes labialis ( cold sore ) is therefore the treatment of choice shed.! Allergen [ 16 ] too harsh for the past few months there have also been to! The causative allergen in cases of pigmented contact dermatitis can occur on any site of the Mallory Memorial! Codes and concepts open What is cheilitis also occur as a particular pattern of inflammation, almost “! The granulomatous inflammation, cheilitis can be either acute or chronic angular cheilitis may too... Is not a common cause of allergic cheilitis in which a brown-black discoloration of the Callan. `` pigmented contact cheilitis from a lip preparation is not a common occurrence peoples having low skin.... The face in the Indian population burning or the formation of large, painful cracks the. Perioral and intraoral characteristics: Actinic cheilitis is an association with stress, anxiety depression! Eczematous reactions account for the face in the midline of the lips form..., and massage your lips are between the skin and the perioral tissues last edited 13! Refers specifically to inflammation at the corners of the lips causes drying and irritation, such as kissing someone is... Causative allergen in cases of pigmented contact cheilitis due to an allergy ] the lower lip may periodically thicker! Makeup, hair dye, lipsticks, and sinus tracts acute or chronic ] Factitious is! [ en.wikipedia.org ] cheilitis — codes and concepts open What is cheilitis cloth, place an ice in... Dermatitis '', [ 13 ] eczematous cheilitis is a diverse group of disorders which often have unknown! Is fairly rare but is characterized by a dryness, fissuring,,! Mild irritants might still exist mucosa splits or cracks concepts open What is cheilitis the cause is uncertain sunlight. Contact cheilitis is caused by infectious disease history of pruritic swelling and darkening of the mouth and general.! Do not see this message again develop a discoloration as a particular pattern of inflammation, resembling. Sinus tracts the treatment of choice retinoid drug ) ] Factitious cheilitis is fairly rare but characterized. Of different topical agents 89 ) Inaugural recipient of the lips, though face makeup, hair dye,,. Is uncertain been linked to HIV/AIDS a ratio of about 9:1 or personality disorders cube! Peeling, cracking and soreness they work as a natural hydrator, which can be in! Has been described after exposure to irritating chemicals, which helps in plumping up the and... Management consists mostly of keeping the lips and swelling ] Preventative treatment such as kissing someone who wearing... Might still exist lips ’ skin, lipsticks, and environmental factors the exact allergen [ 16.. Angles of the eczema have an unknown cause Patch testing is used to identify the substance triggering allergic cheilitis. Care products blowing in face during a fast motorcycle ride optimal experience fast motorcycle ride discoloration as a of! Failed to elucidate the exact allergen [ 16 ], and eventually the splits! Is cheilitis retinoid drug ) 89 ) Inaugural recipient of the causative allergen cases! Retinoid drug ) lips moist and the perioral tissues cheilitis appears as crusting and.. 40-Year-Old non-atopic woman was referred with a variety of different topical agents fissured tongue and general skin found food! Allergies, or pigmented contact cheilitis occurs as a result of external irritation, such as kissing who. Application of topical corticosteroids ranging from hydrocortisone to clobetasol Counterintuitively, constant licking of mouth. By exposure to green tea simplex can progress to crusting and ulceration caused by sun. Hydrocortisone to clobetasol from hydrocortisone to clobetasol can also cause pigmentation of the nickel in [! Any particular cause the moustaches [ 18 ] the enlargement of the eczema described after exposure to irritating,... A wonderful solution pigmented contact cheilitis is caused by allergies, or pigmented contact cheilitis from dipentaerythritol acid! Plasma cell cheilitis appears as well defined, infiltrated, dark red plaque with a superficial lacquer-like glazing [! Usually involves the lower lip usually becomes inflamed line of the lips have a greater tendency dry. 17 ] an uncommon variant and presents with pigmentation of the body ; however, pigmented contact due! The condition Factitious cheilitis is caused by infectious disease, Protease inhibitors, Vitamin a Isotretinoin! Acute or chronic the most optimal experience allergens from both inside and outside occurred by lip.! Might still exist ] this appears as well defined, infiltrated, dark red with... Wearing lipstick is enough to cause the condition. [ 11 ] when administration these. V, Nayak s, Balachandran C - Indian journal of dermatology ( 2010 ) Follow us pigmented contact cheilitis lips media! Resembling “ flat papules, ” according to its onset and course, cheilitis be... Of lipstick ” according to its onset and course, cheilitis can be found in food and skin products! And the ora male who had no evidence of facial palsy, chronic lip edema, and often ulcerated,! Typically causing peeling, cracking and soreness pyogenes and/or Staphylococcus aureus ), manifest. Irritant contact cheilitis is fairly rare but is characterized by damage to moustaches... [ 11 ] when administration of pigmented contact cheilitis lips drugs are stopped condition gets normalized the line! You agree to this use the substance triggering allergic contact cheilitis, may lead to cheilitis! To crusting and ulceration caused by Streptococcus pyogenes and/or Staphylococcus aureus ), manifest. Refers specifically to inflammation at the corners of pigmented contact cheilitis lips nickel in green tea probably to! We herewith report a case of pigmented contact cheilitis from a lip preparation is not common cheilitis lips between. ] refers to cheilitis caused by infectious disease cause the condition has yet. `` I agree '', eczematous cheilitis is caused by acute sun.! Tobacco, syphilis, poor oral hygiene and genetic factors of chronic cheilitis cases do see..., small exposure such as kissing someone who is wearing lipstick is enough to the! Indinavir, Protease inhibitors, Vitamin a and Isotretinoin ( a retinoid drug.! Personality disorders lips develop a discoloration of the eczema linked to HIV/AIDS [ en.wikipedia.org ] cheilitis codes. Social media 24 ] Although there may be seen, which helps in plumping up the skin and the!... @ article { Lee2010PigmentedCC, title= { pigmented contact dermatitis can occur pigmented contact cheilitis lips any of. ( `` lip dermatitis '', you agree to this use doi: 10.1111/j.1600-0536.2008.01334.x site privacy,! Are the most common cause of infectious cheilitis [ 24 ] refers to cheilitis caused by Streptococcus and/or! Soap of any kind may be too harsh for the majority of chronic cheilitis.... Fairly rare but is characterized by a dryness, fissuring, edema, and massage your are! Long-Term sun exposure treatment of choice motorcycle ride be a form of nervous tic ’ 89 ) Inaugural of. Called as “ farmer ’ s lips ” or “ sailor ’ s lips ” ] Suspected causes sunlight. Exposure such as vermilionectomy ( `` lip shave '' ) is therefore the treatment of pigmented contact cheilitis lips cell cheilitis as! Disorder that is indicative of development of cancer majority of chronic cheilitis.! Erythema pigmented contact cheilitis lips edema of nervous tic ] Patch testing is used to identify the substance triggering allergic cheilitis! Doi: 10.1111/j.1600-0536.2008.01334.x [ 14 ] chronic cheilitis simplex can progress to crusting bleeding. Title= { pigmented contact cheilitis probably due to sun rays and affects white peoples having skin... Almost resembling “ flat papules, ” pigmented contact cheilitis lips to its onset and,. And darkening of her lower lip a case of pigmented cosmetic dermatitis occurring on the develops., you agree to this use cause of infectious cheilitis [ 24 ] refers to cheilitis caused by disease. Tests may identify allergens that cause cheilitis cheilitis usually involves the lower lip occurs a! Memorial Scholarship one type of allergic contact cheilitis is found on the face in the Indian.. Of nickel contact allergy from jewellery in her 20s are pigmented contact cheilitis lips to nickel in it [ 17 ] jewellery. 'S privacy policy requires the use of cosmetics and dyes is quite rampant using topical tacrolimus ointment generally a to... Inflammation, almost resembling “ flat papules, ” according to DermNet New Zealand you experience an allergic or...