Abrasive precancerous cheilitis Manganotti

Cheilitis is an inflammation of the red border, mucous membrane and skin of the lips. In common parlance, the disease is called jamming. The inflammatory process can be long-lasting and periodically worsen. In healthy young people it often goes away on its own, but in children, the elderly and people with chronic diseases it should be treated with medication. Elderly people have a high risk of leukoplakia and malignancy of the process.

Cheilitis is treated by a dentist, and if necessary, a therapist, pediatrician and other specialized specialists - an endocrinologist, an infectious disease specialist, etc. - are involved in drawing up a treatment plan.

Causes of cheilitis

Cheilitis can be an independent disease and a manifestation of other pathologies of the mucous membranes and internal organs. The most common causes of the disease include:

• Dermatoses. The mucous membranes and skin of the lips can be involved in the pathological process in lichen planus, psoriasis, erythematoses and other skin diseases.
• Unfavorable factors. Exposure to hot and cold air, wind, and excessive exposure to UV rays are especially common causes of cheilitis in people who work outdoors and under special weather conditions.
• Allergic reactions. Allergies can be triggered by chemical factors, ultraviolet rays, cosmetics, etc.;
• Other diseases. Secondary cheilitis often develops against the background of atopic dermatitis, eczema, neuritis of the facial nerve, etc.

Natural protective mechanisms are weakened by such factors as hypothermia, previous surgical interventions, long-term antibacterial therapy, hypovitaminosis, etc.

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Homeopathic treatment

The following homeopathic remedies are used to treat cheilitis:

1. Arsenicum album , Chinanum, Clematis erecta, Ranunculus, Sepia, Staphysagria - these remedies are used for any inflammation of the lips.
2. Berberis is used for severe itching of the red border.
3. Calcarea carbonica is applied to weeping eczema in the corners of the mouth.
4. Gelsemium helps with severe itching and eczema.
5. Antimonium crudum is a homeopathic remedy that is used for weeping eczema.
6. Kalium muriaticum - used for exfoliative, fungal and atopic cheilitis.

Symptoms and types of disease

Cheilitis on the lips can manifest itself in different ways depending on the form of the disease. Thus, the exfoliative type of inflammation appears more often in women; its main symptom is peeling. The disease is based on neurological and endocrine disorders. Peeling occurs on the red border of the lips and does not affect the skin and mucous membranes. The disease rarely spreads to the entire red border, so part of it remains unchanged.

With severe dry skin, peeling is accompanied by symptoms such as:

• feeling of dry lips;
• burning;
• formation of easily detachable scales.

The disease is long-term and sluggish, with periods of exacerbation occurring from time to time. It rarely goes away on its own. With the exudative form, pain, swelling of the lips, and the formation of large crusts may occur.

Glandular cheilitis develops against the background of the proliferation of minor salivary glands and their subsequent infection. With congenital pathologies, signs of such inflammation of the lips are present in almost all cases. Acquired overgrowth may be associated with chronic diseases of the periodontal tissues, tartar, multiple caries - diseases leading to infection of the dilated ducts. Lesions of the lower lip with this form of cheilitis are more common. The disease develops with the appearance of dry lips, which is initially easy to correct with the help of cosmetics. Subsequently, cracks begin to form, deepen and begin to bleed. The condition is aggravated by the constant desire to lick dry lips - cracks and ulcers can become weeping and become permanent due to the inelasticity of the skin of the lips.

Contact allergic cheilitis develops after exposure to an allergen - an irritant. The most common of them are components of lipsticks and other care products. Allergies can also be associated with bad habits, for example, constantly keeping pencils, pens and other foreign objects in the mouth. Musicians may develop occupational cheilitis due to constant contact of the mouthpieces of wind instruments with their lips. The main symptoms of the disease include:

• severe itching;
• burning;
• swelling of the lips;
• redness of the skin and mucous membranes.

Manifestations intensify upon contact with the allergen. Bubbles of different sizes may form; their spontaneous or accidental opening leads to the formation of ulcers and cracks. Chronic forms of allergic disease are accompanied by peeling, slight itching and the absence of other signs of inflammation.

Actinic cheilitis belongs to the category of diseases that are based on increased sensitivity to weather and other external factors. Usually occurs in response to sun exposure. Exudative forms of this disease are accompanied by the formation of crusts. Sometimes small blisters form, the opening of which leads to painful erosions. In the absence of exudate, the main symptoms are pain, dryness, and burning of the lips. Actinic cheilitis often degenerates into precancerous diseases.

In atopic cheilitis, the main cause of the disease is dermatitis of the same name, or neurodermatitis. It appears in people with an allergic predisposition, and the triggering factor can be medications, cosmetics, food products, as well as microorganisms and their waste products. The disease is accompanied by redness of the lips, itching and peeling of the red border, and damage to the corners of the mouth. After acute symptoms subside, peeling and thickening of the skin may occur. Dryness stimulates the formation of cracks.

Macrocheilitis is part of the Rossolimo–Melkersson–Rosenthal syndrome. Appears against the background of neuritis of the facial nerve and the symptom of a folded tongue. Develops due to infectious-allergic effects against the background of genetic predisposition. Manifests itself with the following symptoms:

• lip enlargement;
• severe itching;
• swelling of other parts of the face;
• bluish-pink color of swollen areas of the lips.

One or both lips, cheeks, and upper parts of the face may be affected. Neuritis leads to facial asymmetry, and the nasolabial fold is smoothed out.

Hypovitaminous cheilitis of the lips develops against the background of a deficiency of B vitamins. Burning and dryness of the oral mucosa and lips appear. The mucous membranes become swollen and red, peeling occurs on the red border, and cracks appear. They are prone to bleeding, which is also associated with a lack of vitamins. The tongue may become enlarged and can easily become imprinted with teeth.

With candidal cheilitis, the inflammatory process is accompanied by the formation of white plaque on the mucous membranes. The cause of this disease is the proliferation of a fungus of the genus Candida; it often affects infants, people after radiation and chemotherapy, as well as patients with immunodeficiencies. Cheilitis develops with long-term use of antibiotics and immunosuppressants.

Allergic cheilitis

A disease that develops in allergy sufferers upon contact with an allergen and affects the surface of the lips. Typical manifestations of this type of cheilitis are a feeling of itching and burning on the lips, dryness and significant discomfort. The lips begin to dry and peel, and the scales of dead epithelium begin to flake off.

The main cause of this disease is the patient’s increased sensitivity to external irritants, in particular to allergens. Allergic, or, as it is also called, contact cheilitis can develop gradually.

It all depends on the patient’s personal sensitivity to allergens, and it can develop over several weeks, months and even years. The duration of this process is determined by the peculiarities of the endocrine system, as well as the degree of manifestation of allergic reactions.

This disease practically does not appear in children. According to statistics, most patients with allergic cheilitis are women over twenty years of age.

Causes of the disease

In most cases, allergic cheilitis is caused by contact allergic irritants. Among the most common allergens that cause cheilitis is lipstick. It is not the lipstick itself that is dangerous, but the substances it contains - rhodamine, eosin and others. Provoking factors also include low-quality dental implants and plastic dentures.

Allergic manifestations may appear after contact with citrus fruits, as well as in patients who have the habit of chewing pencils or pens. The disease is also common for those whose work involves playing wind instruments or hazardous chemical production.

Symptoms of the disease

The disease manifests itself as hyperemia and swelling of the lips, as well as a sensation of itching and burning, accompanied by the formation of erythema. Small painful blisters appear and burst on the affected areas of the lips. If the pathogenic process is prolonged, over time, small scars and scars will form in their place on the lips. Dry lips only increase over time.

Inflammation almost never extends beyond the red border around the lips. In rare cases, it may spread to adjacent skin. Sometimes the inflammatory process moves to the oral mucosa. This form of allergic cheilitis is characterized by hyperemia (significant redness of the tissues), the appearance of noticeable swelling of the tissues, and when trying to palpate, pain occurs.

Diagnosis and treatment

Diagnosis of the disease is carried out by a dentist together with an allergist. To determine the allergen, it is necessary to conduct allergy tests.

When making a diagnosis, it is important to distinguish allergic and atopic cheilitis, as well as exclude exfoliative and actinic cheilitis. Treatment of this disease includes the mandatory elimination of the irritant or allergen that caused it.

Systemic (general) and topical (local) drug therapy is used. General therapy refers to the use of medications taken orally. To relieve allergy symptoms, a course of antihistamines is used. If the case is sufficiently complex, the use of corticosteroids may be indicated. In addition, calcium supplements may be prescribed.

Local treatment of allergic cheilitis includes the use of a variety of emollient oils, ointments and balms based on sea buckthorn, vitamin E and others. To avoid the recurrence of the pathology, it is necessary to take an allergy test in order to eliminate any contact with the allergen in the future. It is also advisable to reconsider your diet and carefully consider the choice of cosmetics.

Diagnostic features

If inflammation appears on the lip, it is advisable to visit a therapist, for children a pediatrician, if indicated, an infectious disease specialist, a dentist, or other specialized specialists. Diagnosing cheilitis is usually not difficult - a specialist will conduct an examination, listen to complaints and prescribe a series of tests. If the allergic nature of the disease is suspected, allergy tests may be recommended, and if plaque appears, it is advisable to take a scraping. To detect endocrine and other disorders that may cause the disease, biochemical blood tests and other diagnostic methods are often prescribed. In rare cases, a biopsy is required to differentiate cheilitis from other pathologies. This will help to exclude the malignant or precancerous nature of inflammatory formations and prescribe the correct treatment.

Treatment methods

The treatment plan for cheilitis is developed individually, depending on the form of the disease, the severity of symptoms, and the characteristics of the health condition. Thus, in the treatment of the exfoliative form of the disease, the key element of effective treatment is the impact on the psycho-emotional sphere: you will need to contact a neurologist or psychoneurologist to prescribe sedatives and antidepressants according to indications. Consultation with an endocrinologist may be required.

Local treatment may involve the use of laser or ultrasound physiotherapy, local anti-inflammatory drugs, and less commonly, radiation therapy. Elimination of excessive dryness is possible with the help of hygienic lipsticks. To speed up recovery, the doctor may prescribe vitamin therapy, UVOC and other methods of maintaining the body's defenses.

Therapy for glandular cheilitis consists of using local anti-inflammatory agents. Antibacterial, antiviral, and hormonal ointments can be used. A radical method of therapy is electrocoagulation of the salivary glands or their surgical removal, as well as laser ablation. These methods are used when conservative methods are ineffective. After the main course, the doctor will prescribe medications to prevent relapses - they will eliminate dry or weeping skin. It is important to sanitize the oral cavity in a timely manner and undergo professional teeth cleaning.

Treatment of atopic cheilitis consists of eliminating irritating factors. Drugs with antipruritic and anti-inflammatory effects can be used locally, and therapy with antihistamines with a systemic effect is also carried out. The use of glucocorticosteroids allows you to get quick relief, but it is important to strictly adhere to medical prescriptions - they can only be used for a short time. It is important to follow a hypoallergenic diet and remove allergenic foods from the diet.

Therapy for meteorological cheilitis begins with limiting harmful effects, for example, insolation. Local treatment is usually carried out - the doctor prescribes hormonal agents and protective creams, including those with SPF. The course of treatment is supplemented with vitamins - vitamin-mineral complexes or individual preparations (B, PP, C, etc.).

In the treatment of macrocheilitis, immunocorrective and antiviral therapy is of particular importance. The doctor may prescribe:

• hormonal anti-inflammatory drugs of systemic action;
• novocaine blockades;
• antihistamines, etc.

Laser therapy can have a positive effect on the correction of the entire triad of symptoms. Other physical therapy methods have been successful in treating facial neuritis.

What to do if cheilitis appears

If the above symptoms occur, you should consult a dentist. He will perform a complete examination of your mouth. Will do an analysis of the oral mucosa for microflora. If necessary, he will recommend contacting other doctors - a therapist, an endocrinologist, a gastroenterologist.

Treatment of inflammation, when the red border of the lips is affected, depends on the cause that caused it. Along with the underlying disease, symptomatic treatment is carried out, which may include:

• Taking complex vitamins.
• Taking antihistamines and antibacterial drugs.
• The use of special ointments and gels that have antifungal, anti-inflammatory, and antiviral effects.
• Rinsing the mouth with extracts of chamomile, oak bark or calendula.
• Carrying out activities aimed at increasing immunity.

Photo 2: After complete recovery, it is recommended to use ointments, creams, and hygienic lipsticks to prevent the appearance of new inflammation.
Maintain oral hygiene and replenish the lack of vitamins in the body. Source: flickr (Konstantin Malanchev). If the problem recurs frequently and treatment helps only temporarily, it is worth turning to homeopathic therapy, which acts on the entire body, striking at the cause that caused the disease, and simultaneously eliminating the symptoms.

Possible complications

Failure to see a doctor in a timely manner often causes serious complications. The disease itself often does not pose a serious health risk. But only an experienced specialist can tell you how to treat cheilitis. Self-medication can lead to unpleasant consequences and provoke the occurrence of a chronic form of the disease. In addition, cheilitis is dangerous because its symptoms can mask malignant tumor processes. It is important to remember that some forms are prone to malignancy - cheilitis may be followed by precancerous conditions.

Prognosis and prevention

With timely treatment and the absence of malignancy processes, the prognosis is almost always favorable. If the therapy has caused noticeable cosmetic defects, you can resort to methods for correcting the appearance of the lips.

To prevent complications, it is important to understand whether you are at risk. The presence of allergic diseases and dermatoses, chronic endocrine diseases, and wearing dentures increase the risk of developing pathology. To prevent the appearance of cheilitis, it is important to adhere to several rules:

• regularly visit the dentist, sanitize the oral cavity, remove tartar;
• promptly replace outdated fillings and orthopedic structures, contact after chipped teeth and injuries to prevent lip injury from the sharp edges of fillings and enamel;
• For the manufacture of prostheses, contact only professionals;
• eat properly and nutritiously to prevent hypovitaminosis;
• try to avoid prolonged exposure to the sun and use products with SPF, including for lips;
• be attentive to your health and promptly treat diseases of the gastrointestinal tract, endocrine, nervous system, and internal organs.

The most common diseases of teeth and gums

• Caries.

  This is a common problem that affects almost every person at different ages. At the first stage of development, spots appear on the enamel, and as a result of development, hard tissues are destroyed;

• Gingivitis.

  An inflammatory process that causes swelling and tenderness of the soft tissues. If treatment is not treated in a timely manner, the problem worsens and becomes chronic;

• Periodontitis.

  A popular problem in which the initial stage is asymptomatic. Pain and discomfort appears after damage to bone and soft tissue;

• Periodontal disease

  is expressed in periodontal damage, which can lead to tooth loss. Therefore, it is important to start treatment in a timely manner.