Glandular cheilitis apostematosa K13.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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von Volkmann, 1870; Unna, 1890; von Baelz, 1890

Definition
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Rare, bacterial (staphylococci), purulent infection of the mucosal glands which open in the area of the lip hem and the lower lip mucosa.

Clinical features
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Significant edematous cheilitis; distinct painfulness of the entire lip; on pressure, evacuation of a purulent mucous secretion, ulceration and encrustation of the lips.

Therapy
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After the inflammation has subsided, the glandular tissue in the lip region is removed in strips (vermillonectomy).

Internal therapy
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ß-lactamase-resistant penicillins such as Dicloxacillin (e.g. InfectoStaph) 4 times/day 0.5-1 g over 1 week.

Literature
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  1. Michalowski R (1946) Cheilite glandulaire suppurée en surface au maladie de Baelz. Acta dermato-venereologica (Stockholm) 27: 31-38
  2. Rogers RS 3rd, Bekic M (1997) Diseases of the lips. Semin Cutan Med Surg 16: 328-336
  3. Sutton RL (1909) Cheilitis glandularis apostematosa (with case report). J Cutan Dis 27: 151-154
  4. Sutton RL (1914) The symptomatology and treatment of three common diseases of the vermilion border of the lip. Int Clin 3: 123-128
  5. Unna PG (1890) On diseases of the mucous glands of the mouth. M-books practical Derm 11: 317-321
  6. by Baelz E (1890) On diseases of the mucous glands of the mouth. M-books prakt Derm 11
  7. by Volkman R (1870) Some cases of Cheilitis glandularis apostematosa (Myxadenitis labialis). Virchows Arch Catholic Anat 50: 142-144

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Last updated on: 29.10.2020