Table 2. Prominent features of mostly reversible cheilitis.
Mostly reversible cheilitis | Occurrence | Related factors | Therapy |
---|---|---|---|
Cheilitis simplex | Common | Lip licking Cold, windy, dry weather |
Advice on environmental conditions Application of lip balms, petroleum jelly, emollients, topical corticosteroids, ointments |
Angular/infective cheilitis | Common | Infective agents Immune deficiency (diabetes, HIV) Mechanical factors Nutritional deficiencies (riboflavin, folate, iron, etc) |
Elimination of local predisposing factors Topical antimycotics, antiseptics, antibiotics, topical corticosteroids |
Contact/eczematous cheilitis | Very common | Atopy, contact allergens/irritants | Topical corticosteroids (low to medium potency), emollients |
Exfoliative cheilitis | Rare | Lip licking/picking Psychological distress Nutritional deficiencies |
Corticosteroids Psychotherapy (some cases resolve spontaneously) |
Drug related cheilitis | Rare | Drugs | Emollients Drug elimination if possible |