Cheilitis atopic L20.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

allergic cheilitis; Atopic Cheilitis; atopic dermatitis of the lips; cheilitis atopica

Definition
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Chronic cheilitis as a monosymptomatic "minus variant" of atopic eczema or as a partial symptom of generalized atopic eczema.

Localization
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red of the lips, also spreading to the lip skin

Clinical features
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Rough, reddened, tense lips, painful when ingested with acidic food and drinks, with erosions, loose and tightly adhering scaly deposits, rhagade formations (mostly in the middle and/or corner of the lip)

Rarely smallest blisters.

The symptoms often lead to compulsive constant licking of the lips, which initially brings relief by moistening, but in the long term leads to a worsening of the symptoms.

Therapy
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Oily nourishing external products (e.g. Rolip Mandelic or Rolip Emulsion, Bepanthen Lip Cream, Ceralip Lip Cream, Vaselinum album, Lanolin DAB).

In the weeping, chapped stage of chilitis, moist pads with antiseptic or anti-inflammatory additives such as 1% chlorhexidine or 2% dexpanthenol;

alternatively: as a moist pad: black tea

alternatively: short-term fat-moist treatment with thickly applied glucocorticoid-containing ointment such as a 0.5% hydrocortisone ointment(hydrocortisone cream 0.5-2.0%), or a methylprednisolone aceponate ointment(e.g. Advantan Fatty Ointment); on top of this moist pads (fat-moist!).

Literature
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  1. Freeman S et al (1999) Cheilitis: analysis of 75 cases referred to a contact dermatitis clinic. At J Contact Dermat 10:198-200
  2. Gorbatova LN (2000) Atopic cheilitis in children: the risk factors and clinical symptoms. Stomatologiia (Moscow) 79:48-50
  3. Nagaraja Kanwar AJ et al (1996) Frequency and significance of minor clinical features in various age-related subgroups of atopic dermatitis in children. Pediatric Dermatol 13:10-13
  4. Wahab MA et al (2011) Minor criteria for atopic dermatitis in children. Mymensingh Med J 20:419-424

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Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020