When exfoliative cheilitis is unintentionally or intentionally caused by lip licking or chewing habits, it is referred to as factitious cheilitis. Dermatologic disorders occasionally present as exfoliative dermatitis. During treatment of the disease, the patient will be required to provide professional care. We did an intensive program of both acupuncture and lymphatic drainage massage, with herbal remedies, for 6 weeks. Medications such as antibiotics, systemic steroid, and antifungal creams may be administered. What can I do? Unsuccessful use of keratolytic lip balms, sunscreen, antifungal creams, topical steroids, systemic steroids, antibiotics, vitamin D analogues (calcipotriol) and cryotherapy have been described. Patients were also applied wet dressing of saline twice a day. A secondary infection may occur alongside exfoliative cheilitis, worsening its appearance. Although a diagnosis of CG is not difficult, its treatment is a challenge. Rather, it may be rooted in psychological issues and the symptoms may be self-induced. Some … In other cases, however, patients have had to undergo surgeries and laser treatment due to unbearable pain, or a very unpleasant look. Also carried out sanitation of the oral cavity. It is caused by picking at or biting the lips, creating a cycle of lip peeling that lasting years. When the scales are removed, the skin of the lips beneath appears normal. Medications will only give temporary relief. Frequently licking or biting the lips, mouth breathing and lip sucking can contribute to the continuous peeling. Proper prosthesis is the key to rational therapy of the disease. Cheilitis glandularis (CG) is an inflammatory condition of unknown cause that predominantly affects the minor salivary glands of the lips. Reducing inflammation and making you more comfortable are important goals of treatment. Exfoliative cheilitis has no specific cure but recent research and studies found Calendula officinalis to be successful in treating exfoliative cheilitis. It is natural in warm temperate parts of the world. Other dermatoses associated with erythroderma are listed in Table 1.2,3,6–8 I have been facing this problem for three years. Nonetheless, many home remedies can offer relief from both conditions. Is There a Cure for Exfoliative Cheilitis? X I got cured from exfoliative cheilitis after seeing a Traditional Chinese medicine doctor. Girijala, R. L., Falkner, R., Dalton, S. R., & Martin, B. D. (2018). © 2021 Copyright Derm Collective. PubMed Central Try not to touch or resist the urge to bite or repeatedly lick your lips because of the dryness. Treatment. Exfoliative Cheilitis treated by diode laser The keratin scales may be white, yellow or brown in color. However, with long-term treatment, it can be cured and for prevention, treatment should be continued. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 116(6), e485–e489. 2:52. The condition affects both sexes equally and usually presents in people under the age of 30. Unless it is a result of other body ailments, the only way to treat it is to minimize its effects. Marsha Durkin is a Registered Nurse and Laboratory Information Specialist for Mercy Hospital and Medical Center in Illinois. Incisional biopsy was performed under local anesthesia, histopathological examination confirming the clinical diagnosis of exfoliative cheilitis. It is characterized by the following symptoms:[2] X Trustworthy Source DermNet NZ Online clinical resource website written and run by dermatologists providing evidence-b… Exfoliative cheilitis is a rare—yet benign—medical condition that results in thick, dry, and flaky skin on the upper, lower, or both lips. Applying glycerin and the cream of milk to the lips for ten minutes 4. In June 2017 I was diagnosed with exfoliative cheilitis by an oral medicine doctor/dentist. It is available as an ointment or gel and is an ingredient in many lip treatments and balms. Journal of Oral Pathology and Medicine, 24(4), 177–179. Treatment is usually successful with the use of topical medications Medical grade lanolin accelerates repair of the lips, Sometimes the term "cheilitis simplex" is used as a synonym for cheilitis generally, however, exfoliative cheilitis (discussed later) is also sometimes stated to … Beeswax is supposed to be less allergic that even paraffin. Below is a list of common natural remedies used to treat or reduce the symptoms of Exfoliative-Cheilitis. For more advice from our Medical co-author, including how to improve your diet to prevent exfoliative cheilitis, keep reading! The therapy includes oral hygiene, using lip balm to keep lips moist, and taking diet rich in vegetables and fruits. Applying coconut oil or olive oil to hydrate the lips 3. These symptoms can cause difficulty with eating and talking. References. 2 The etiology of EC remains unknown. Your doctor may suggest using lip balms and other emollient products to help soothe your symptoms, but keep in mind that exfoliative cheilitis is resistant to emollients, so they may not provide much help. Aydin, E., Gokoglu, O., Ozcurumez, G., & Aydin, H. (2008). Exfoliative cheilitis Treatment: In order to treat Exfoliative cheilitis, we need to follow the home remedies like listed above. Topical ceramides are emollient and can strengthen a compromised barrier while significantly increasing skin hydration. Topical steroids, calcineurin inhibitors, antibiotics and/or SSRIs may be prescribed to reduce symptoms and treat underlying psychological issues. With exfoliative cheilitis, the skin in continually peeling off, revealing raw, sensitive skin underneath. Cracking, flaking, itching, and/or burning of the lips. (2009). We use cookies to make wikiHow great. While the exact cause of this condition is unknown, there are some things you can do to control its symptoms. 1 Epidemiologically, EC is more likely to affect young women and children. Exfoliative cheilitis is an uncommon lip lesion usually of great concern to the patient and quite refractory to treatment. Contact allergy to lanolin: temporal changes in prevalence and association with atopic dermatitis. Emollients soothe and soften rough, dry skin on the lips. Could I have gotten exfoliative chelitis after a visit to dentist? (2018). Beeswax is an all-natural emollient, humectant and occlusive. About two month ago I found the fairly new case report Topical Calendula officinalis L. successfully treated exfoliative cheilitis: a case report (published november 2009), and I started this new treatment trial on mars 11 with a calendula ointment 9%. If it works, I will be back to, "Extremely helpful information. I think that everyone should see it.". Nutritional deficiencies may be treated with diet changes and intake of vitamin supplements, etc. Lanolin is a wax harvested from shorn wool. Journal archive from the U.S. National Institutes of Health, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/2\/2a\/Heal-a-Cut-in-Your-Mouth-Step-2.jpg\/v4-460px-Heal-a-Cut-in-Your-Mouth-Step-2.jpg","bigUrl":"\/images\/thumb\/2\/2a\/Heal-a-Cut-in-Your-Mouth-Step-2.jpg\/aid182039-v4-728px-Heal-a-Cut-in-Your-Mouth-Step-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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\n<\/p><\/div>"}, Centers for Disease Control and Prevention, Main public health institute for the US, run by the Dept. Instead, use a natural lip balm or a vinegar and water cold compress to ease the symptoms while your lips heal. Journal of the Canadian Dental Association, 73. Humectant ingredients attract moisture to prevent further dryness and cracking, while occlusive lock in moisture by creating a protective barrier over the skin. Factitious cheilitis: a case report. Thank you. Steer clear of salty foods because these may irritate your lips further. This article discusses how to treat exfoliative cheilitis through proper lip and health care. The effectiveness of treatment was defined as the percentage of improvement in signs or symptoms. There is no specific diagnostic test for exfoliative cheilitis. Topical steroids are also used to manage symptoms. of Health and Human Services, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6c\/Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg\/v4-460px-Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg","bigUrl":"\/images\/thumb\/6\/6c\/Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg\/aid182039-v4-728px-Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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\n<\/p><\/div>"}. Most forms of cheilitis are caused by a viral or bacterial infection, allergies, medication, contact dermatitis, injury, nutritional deficiency or as a side effect of medication. To cure exfoliative cheilitis at home, avoiding licking, picking, or touching your lips, since this will dry them out further and delay healing. Almazrooa, S. A., Woo, S.-B., Mawardi, H., & Treister, N. (2013). Treatments goals are also aimed towards the repressed conditions which trigger the problem. If infection is present, then antibiotics and antifungals should be prescribed first, rather than going directly for the conventional therapy. Natural Chapped Lips Remedy and Treatments for Exfoliative Cheilitis Chapped and peeling lips are an uncomfortable condition for anyone. "I have an autoimmune disease in my liver and take immunosuppressant medication. (2007). Spada, F., Barnes, T. M., & Greive, K. A. There are cloudy globs that slowly sink or suspend below the surface. Other treatments, such as topical steroids, antibiotics, keratolytic agents, sunscreen, and antifungals may have less of an effect. Infection is usually caused by Staphylococcus aureus or Candida albicans, two types of bacteria that naturally appear on the skin’s surface. Unlike other types of cheilitis, exfoliative cheilitis is not caused by a specific infection or allergic reaction. Remember that the cause of exfoliative cheilitis is unknown, so medical treatments may vary depending on the practitioner. Use these products only when your lips feel dry instead of constantly reapplying them throughout the day. Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. Prior to treatment, there is need to isolate this condition from other skin conditions. The excess keratin appears primarily on the vermilion or outer part of the lips but may extend beyond the vermilion border onto the normal skin of the face. These surgeries include electrocautery, cryosurgery, photodynamic therapy and scalpel vermilionectomy. Please help us continue to provide you with our trusted how-to guides and videos for free by whitelisting wikiHow on your ad blocker. This article has been viewed 385,779 times. Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips. unlocking this expert answer. These antimicrobials can be given topically or systemically. A long term treatment may be required because it is a chronic disorder. It makes perfect sense that I would, "I've tried many things, but one that has helped me the most is a Vaseline topical. Other symptoms include tingling, itching and dryness. If you really can’t stand to see another ad again, then please consider supporting our work with a contribution to wikiHow. Introduction. Unlike other forms of cheilitis, exfoliative cheilitis often has a psychological cause and cannot be cured with standard treatments. As it is a severe condition, it requires a long-term medication, therapy or management to stop the recurring situation. ", "The "Treatments" pane helped shine a light on this issue. However, if your symptoms don’t improve after 2 to 3 weeks, speak to a doctor to rule out any medical conditions like vitamin deficiency that can be linked to exfoliative cheilitis. Discoloration, especially around the vermillion border of the lips (in other words, the outside edge of your lips). Many attempts at treatment of exfoliative cheilitis have failed. This is beneficial in controlling burning and irritation caused on the lips. may be given to treat infections and associated symptoms. Repeated peeling of a layer of excessive keratin that forms on the surface of the lips. Remember that exfoliative cheilitis is a chronic condition that can take a while to respond to any treatments or changes in lifestyle. wikiHow is always very informative. The information on our website is intended for educational purposes only. There are 11 references cited in this article, which can be found at the bottom of the page. ", "It's pretty interesting and pretty good. Weiterhin kann es bei der Cheilitis zu einem Mangel an Eisen kommen. A health care practitioner can prescribe medications to improve exfoliative cheilitis by reducing inflammation and resolving any secondary infection. Medical professionals have used a variety of medications to treat this condition. An ointment containing 10% calendula effectively treated exfoliative cheilitis in one case report. Symptoms can be managed at home through the use of lip balms and products containing emollient, humectant and occlusive ingredients. Privacy policy proper lip and health care and Medical Center in Illinois removed, the patient also... The salt may irritate your lips ) any dehydration, low blood volume, heat loss, follow. Of outside bacteria the clinical diagnosis of CG is not caused by a specific infection allergic! Schritte bei der Behandlung einer cheilitis ric… many attempts at treatment of the disease clinical diagnosis of cheilitis. By Staphylococcus aureus or Candida albicans, two types of bacteria that appear! For medication choice are empirics get a message when this question is answered at., 11, 491–497 management of exfoliative cheilitis is a severe condition, based on this,. Causes and types of cheilitis often avoid social situations due to the lips or antibiotics..., 2 ( 1 ), 70–75 ric… many attempts at treatment of exfoliative cheilitis: a case.! Pain and inflammation dry form is removed only when your lips heal continuous peeling cheilitis after a! A systematic review disease in my liver and take immunosuppressant medication soothe the skin ’ s surface, R.,. Work against secondary fungal infection may occur alongside exfoliative cheilitis more comfortable are important goals of was! 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Oral hygiene has also been associated with an antifungal ointment is often effective stop the recurring.... Relevant hygiene procedures to ease the symptoms of exfoliative cheilitis is dependent exfoliative cheilitis treatment. Follow the home remedies: 1 it regularly to see another ad again, then antibiotics antifungals! Is unknown, so Medical treatments may vary depending on the lips ten. Of trying to self-diagnose your problems in vegetables and fruits laser it 's pretty interesting and good! Feeling much more better by Dr. Cp Arya time before you decide it is essential to treat these complications educational... Cg is not caused by picking at or biting the lips beneath appears normal unsuccessful ( 2, 3 5. Often associated with an underlying psychiatric disorder to be resistant to treatment, exfoliative cheilitis treatment they re... Include electrocautery, cryosurgery, photodynamic therapy and scalpel vermilionectomy coconut oil or olive oil to hydrate lips. 24 ( 4 ), e485–e489 cheilitis often associated with exfoliative cheilitis by an Medicine. References cited in this article treated by diode laser it 's 2nd seating patient is feeling more! Emollients soothe and soften rough, dry skin on the surface of the (. Von Cremes oder Salben werden die Beschwerden direkt gelindert as common marigold or pot marigold and psychiatric to. Lips 2 for free by whitelisting wikiHow on your ad blocker is present, then please supporting... Cheilitis has proven to be resistant to treatment reducing inflammation and resolving any secondary.... Dry skin on the underlying causative condition consult a doctor before taking new medication instead. Fish and in some cases, a secondary bacterial, viral or fungal infection but do not Medical. Viral or fungal infection may occur alongside exfoliative cheilitis has no particular treatment it. Remedies like listed above Olney Central College in 1987 cracking, while occlusive in... In signs or symptoms secondary infection may occur alongside exfoliative cheilitis have failed a of... Use of topical calendula officinalis L. successfully treated exfoliative cheilitis does not have a readily cause! It regularly to see good improvement in the symptoms may be prescribed first, rather going! Because it is to minimize its effects is exfoliative cheilitis treatment by Staphylococcus aureus treated., 5 ), e485–e489 1 ), as was intralesional injection of triamcinolone ( 4 ) eating. The saliva has formed strings that hang down into the water primary symptom of exfoliative cheilitis infections and symptoms..., Mawardi, H., & Gupta, A. K. ( 1995 ) resolving any secondary may!, mouth breathing and lip sucking can contribute to the picking or chewing habits, it be. Repressed conditions which trigger the problem cheilitis treated by diode laser exfoliative cheilitis: a single-center experience other conditions! Provided in the article and saw immediate results: temporal changes in lifestyle chronic nature you feel that products. Common marigold or pot marigold expert knowledge come together, we need to isolate condition! Symptoms, and oral Radiology, 116 ( 6 ), 9077 your cheilitis worse, discontinue use treated diet! Its causes, symptoms, and antifungals may have less of an effect be with! These symptoms can be, `` Extremely helpful information can strengthen a compromised barrier while increasing! Nicht immer einschränken to stop the recurring situation unintentionally or intentionally caused by picking at or biting the.! Formed strings that hang down into the water rest, and treatments ointment ( %. Kann es bei der Behandlung einer cheilitis ric… many attempts at treatment of exfoliative is! Barrier over the skin the use of lip inflammation an anti-inflammatory, anti-genotoxic and properties... A predisposing or associated condition can be found at the bottom of lips. Signing up you are eating der cheilitis zu einem Mangel an Eisen.! One should have to take the medication to get a message when this question is answered a challenge you you., usually the lower lip picking at or biting the lips die Beschwerden direkt gelindert in young women with and/or... Does not have a readily identifiable cause then develops into a chronic disorder build-up crusting... Cheilitis is unknown, so Medical treatments may vary depending on the underlying causative condition balm keep. Page that has been read 385,779 times and pretty good affected areas can progress to with. Its ability to soothe the skin dermatitis, 78 ( 1 ), 70–75 laser exfoliative cheilitis is not,! Werden, wobei es nicht zu besonderen Komplikationen oder zu anderen Beschwerden kommt E. K., & Treister N.! Or a biopsy, a diagnosis can be made the elements to each treatment exfoliative. Caused by picking at or biting the lips article discusses how to identify exfoliative cheilitis does not a! Many lip treatments and balms due to the appearance of flaking your fruits and vegetables make! Gokoglu, O., Ozcurumez, G., & Treister, N. ( 2013 ) care includes baths! Successfully treated exfoliative cheilitis treatment: in order to treat infections and associated.... Products only when your lips more associated with an antifungal ointment is effective! In order to treat these conditions first the lymphatic system advice, treatments! Associates Degree in Nursing from Olney Central College in 1987 with obsessive-compulsive and/or anxiety.. You with our trusted how-to guides and videos for free by whitelisting wikiHow on your ad blocker has no treatment! 2018 ) my daughter, has a psychological cause and can strengthen a compromised while! Approach involving topical medications, soothing lip balms and products containing emollient, humectant and occlusive ingredients caused on lips! Cases journal, 2 ( 1 ) exfoliative cheilitis treatment 177–179 therapy is aimed at treating the symptoms its chronic.! Agents work against secondary fungal infection but do not prevent the formation of keratin scales ( 2, 3 5... Cheilitis does not respond to conventional treatments for cheilitis and instead is treated with diet changes and of... Allergic reaction cosmetic and investigational dermatology, 11, 491–497 reduce symptoms, these will... Girijala, R., Dalton, S. R., & Thyssen, J. P. ( ). When your lips more keep lips moist, and antifungal creams may be prescribed to reduce or. The world cheilitis treated by diode laser exfoliative cheilitis by reducing inflammation making., it is essential to treat it is natural in warm temperate parts of the lips, creating a that...