It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. I have been facing this problem for three years. While there is some debate as to whether or not over the counter enzymes actually help with digestion, many people have insisted that they assist digestion and aid in the absorption of key nutrients that are essential to overall health. However, it is not clear whether depression causes cheilitis or if the condition itself creates the desire to self-isolate, contributing to a diagnosis of depression. wikiHow is where trusted research and expert knowledge come together. Drink plenty of water and avoid sugary drink and sodas. Secondary infection of Candida albicans or Staphylococcus aureus is treated with oral or topical antibiotics or antifungal creams. We do not provide medical diagnosis, advice, or treatments. Nonetheless, many home remedies can offer relief from both conditions. Conventional topical treatment of exfoliative cheilitis such as keratolytic lip balms, sunscreen, antifungal creams and topical steroids is helpful in some cases but it is not that effective in most cases. % of people told us that this article helped them. She received her Associates Degree in Nursing from Olney Central College in 1987. Support wikiHow by Antifungal agents work against secondary fungal infection but do not prevent the formation of keratin scales (2, 3, 5). Durch das Auftragen von Cremes oder Salben werden die Beschwerden direkt gelindert. Dermatologic disorders occasionally present as exfoliative dermatitis. I think that everyone should see it.". Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips. Nutritional deficiencies may be treated with diet changes and intake of vitamin supplements, etc. Topical steroids, calcineurin inhibitors, antibiotics and/or SSRIs may be prescribed to reduce symptoms and treat underlying psychological issues. A health care practitioner can prescribe medications to improve exfoliative cheilitis by reducing inflammation and resolving any secondary infection. Exfoliative Cheilitis has no particular treatment, but few methods can help in easing its symptoms. Vitamin supplements may be taken. For how much time one should have to take the medication to get rid of this problem? Lesions can spontaneously disappear, but it is common to reappear [3]. Proper hydration, exfoliation and taking care of the lips 2. Remember that exfoliative cheilitis is a chronic condition that can take a while to respond to any treatments or changes in lifestyle. A cold compress with water is also found useful in treating exfoliative cheilitis. Your doctor will work to correct any dehydration, low blood volume, heat loss, and electrolyte or nutritional deficiencies. [1] Exfoliative cheilitis does not respond to conventional treatments for cheilitis and instead is treated through psychiatric care to reduce obsessive-compulsive or anxious behaviors. We know ads can be annoying, but they’re what allow us to make all of wikiHow available for free. 2 The etiology of EC remains unknown. Unlike other types of cheilitis, exfoliative cheilitis is not caused by a specific infection or allergic reaction. This article discusses how to treat exfoliative cheilitis through proper lip and health care. Journal archive from the U.S. National Institutes of Health A dermatologist diagnoses it by exclusion, meaning that they must first eliminate other causes and types of lip inflammation. Choose from any method which is convenient for you, and follow it regularly to see good improvement in the symptoms. Many attempts at treatment of exfoliative cheilitis have failed. "I have an autoimmune disease in my liver and take immunosuppressant medication. At home the patient must also consult the relevant hygiene procedures. Almazrooa, S. A., Woo, S.-B., Mawardi, H., & Treister, N. (2013). You can ease the symptoms at home with lip balms containing anti-inflammatories and/or emollient, humectant and occlusive ingredients, which improve the hydration and feel of your lips through different mechanisms. Once these causes are eliminated through swabs or a biopsy, a diagnosis can be made. Topical steroids, calcineurin inhibitors, antibiotics and/or SSRIs may be prescribed to reduce symptoms and treat underlying psychological issues. Fransen, M., Overgaard, L. E. K., Johansen, J. D., & Thyssen, J. P. (2017). Treatment. To cure exfoliative cheilitis at home, avoiding licking, picking, or touching your lips, since this will dry them out further and delay healing. Cureus, 10(5), e2565. Factitious cheilitis is most common in young women with obsessive-compulsive and/or anxiety disorders. Medical professionals have used a variety of medications to treat this condition. wikiHow is always very informative. Cold compresses with vinegar and water (for 30 minutes). Lanolin is a wax harvested from shorn wool. If you are not having significant improvement under the guidance of one medical professional, consider contacting a different one. It is emollient and semi-occlusive, meaning it retains some moisture while also allowing air to penetrate the skin, allowing for faster healing of fissures in the lips. Topical and systemic corticosteroids were unsuccessful (2, 3, 5), as was intralesional injection of triamcinolone (4). There is no specific diagnostic test for exfoliative cheilitis. Reducing inflammation and making you more comfortable are important goals of treatment. 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. Other symptoms include tingling, itching and dryness. Aydin, E., Gokoglu, O., Ozcurumez, G., & Aydin, H. (2008). The majority of the practitioners of "all natural" toxin cleansing programs are not qualified healthcare providers and that the benefits of such treatment are dubious or unsupported by modern medical research. This article was co-authored by Marsha Durkin, RN. Products containing the following ingredients cause further irritation to the lips and should be avoided: Overuse of humectant and occlusive ingredients can cause your lips to stop naturally producing their own hydrating molecules. This article has been viewed 385,779 times. However, infection is not a primary cause of exfoliative cheilitis. ", Unlock expert answers by supporting wikiHow, http://www.ncbi.nlm.nih.gov/pubmed/7540205, https://dermnetnz.org/topics/exfoliative-cheilitis/, http://www.cda-adc.ca/jcda/vol-73/issue-7/629.pdf, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241953/, http://www.cdc.gov/fungal/diseases/candidiasis/, http://www.casesjournal.com/content/2/1/9077, http://health.usnews.com/health-news/blogs/eat-run/2013/04/23/digestive-enzymes-help-or-hype, http://www.hsph.harvard.edu/nutritionsource/omega-3/, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803874/, consider supporting our work with a contribution to wikiHow. 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%. Exfoliative cheilitis. People suffering from exfoliative cheilitis often avoid social situations due to the appearance of their lips and their trouble with speaking. Exfoliative cheilitis is a rare and chronic inflammatory condition affecting the vermilion of the lips and characterized by continuous peeling of the vermilion and production of a thick keratin scale. During treatment of the disease, the patient will be required to provide professional care. Here's how to identify exfoliative cheilitis and approach treatment options. The only thing is that it can be, "The article offered a treatment option that I was unaware of. However, with long-term treatment, it can be cured and for prevention, treatment should be continued. By signing up you are agreeing to receive emails according to our privacy policy. Is there a link between EC and the lymphatic system? Applying coconut oil or olive oil to hydrate the lips 3. There are 11 references cited in this article, which can be found at the bottom of the page. Applying sunscreen, cream, moisturizer and lip balms 5. In some cases, a secondary bacterial, viral or fungal infection may develop. Other diseases such as lichen planus and psoriasis can present similarly on the lips. Exfoliative cheilitis is a rare subset of cheilitis often associated with an underlying psychiatric disorder. These surgeries include electrocautery, cryosurgery, photodynamic therapy and scalpel vermilionectomy. exfoliative cheiliti: Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. Exfoliative Cheilitis treated by diode laser Exfoliative cheilitis (EC) is a chronic condition that affects the vermilion zone of the upper, lower, or, more commonly, both lips by the more or less continuous, excessive production and subsequent desquamation of thick keratin scales. This type of cheilitis varies from others in that it does not have a readily identifiable cause. https://doi.org/10.1016/j.oooo.2013.08.016, https://doi.org/10.1111/j.1600-0714.1995.tb01161.x, How to Tighten Skin Under the Eyes: 14 Ways to Improve Sagging, Wrinkled Skin, Dark Circles Under Eyes: Causes and Proven Treatments, Dark Eyelids: Causes, Treatments, Best Creams, Remedies and More, How to Choose the Best Cleanser for Acne and Use It Effectively, Lines Under Eyes: Causes, Prevention, and How to Get Rid of Them, Blackheads in the Ears: How to Safely and Effectively Get Rid of Them. 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>"}. Exfoliative cheilitis its dry form is removed only when properly selected treatment. 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. Other treatments, such as topical steroids, antibiotics, keratolytic agents, sunscreen, and antifungals may have less of an effect. Ceramides are waxy lipids or fats naturally occurring in the body. There are cloudy globs that slowly sink or suspend below the surface. Exfoliative cheilitis is an uncommon lip lesion usually of great concern to the patient and quite refractory to treatment. Omega 3 fatty acids are found in fish and in some green vegetables, such as spinach and kale. Roveroni-Favaretto, L., Lodi, K., & Almeida, J. Medications will only give temporary relief. For advanced cases, a doctor can prescribe a calcineurin inhibitor such as topical tacrolimus, which reduces an enzyme that causes inflammation and has been proven effective at treating exfoliative cheilitis. Add Omega 3 fatty acids to your diet, whether through a supplement or the foods you are eating. Clinical, cosmetic and investigational dermatology, 11, 491–497. Eat organic fruits and vegetables whenever possible. Exfoliative cheilitis has proven to be resistant to treatment. Petroleum jelly is a petrol by-product and occlusive. 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. Prior to treatment, there is need to isolate this condition from other skin conditions. References. Unless it is a result of other body ailments, the only way to treat it is to minimize its effects. Incisional biopsy was performed under local anesthesia, histopathological examination confirming the clinical diagnosis of exfoliative cheilitis. Because it causes such sensitive and painful lips, exfoliative cheilitis can negatively impact the lives of those who have it, at times inhibiting the ability to eat or even talk without pain. The most common of these are psoriasis, atopic dermatitis, seborrheic dermatitis, contact dermatitis and pityriasis rubra pilaris. 1 Epidemiologically, EC is more likely to affect young women and children. Skin hydration is significantly increased by a cream formulated to mimic the skin’s own natural moisturizing systems. (2018). The saliva has formed strings that hang down into the water. Unlike other forms of cheilitis, exfoliative cheilitis often has a psychological cause and cannot be cured with standard treatments. The primary symptom of exfoliative cheilitis is chronic desquamation or peeling of the lips. Factitial cheilitis is a rare diagnosis of exclusion that occurs most frequently in young women with a history of anxiety disorders and recent psychosocial stressors. The effectiveness of treatment was defined as the percentage of improvement in signs or symptoms. Treatments goals are also aimed towards the repressed conditions which trigger the problem. Exfoliative cheilitis does not respond to conventional treatments for cheilitis and instead is treated through psychiatric care to reduce obsessive-compulsive or anxious behaviors. Although a diagnosis of CG is not difficult, its treatment is a challenge. … Hence, it is essential to treat these conditions first. (2007). U can use plain white soft paraffin to reduce the appearance of flaking. Recognize the symptoms. Affected areas can progress to superinfection with Staphylococcus aureus or Candida albicans. Repeated peeling of a layer of excessive keratin that forms on the surface of the lips. I got cured from exfoliative cheilitis after seeing a Traditional Chinese medicine doctor. Exfoliative cheilitis is a rare—yet benign—medical condition that results in thick, dry, and flaky skin on the upper, lower, or both lips. While the exact cause of this condition is unknown, there are some things you can do to control its symptoms. When the lips are dry and cracked, this barrier is compromised, increasing transepidermal water loss and the likelihood of developing an infection. Exfoliative cheilitis is an uncommon type of cheilitis, which refers to inflammation of the lips. My daughter, has this condition, and nothing is working to heal it what should we do? This is beneficial in controlling burning and irritation caused on the lips. Trustworthy Source Rather, it may be rooted in psychological issues and the symptoms may be self-induced. Commit to each treatment for a good amount of time before you decide it is totally ineffective. Exfoliative cheilitis has no specific cure but recent research and studies found Calendula officinalis to be successful in treating exfoliative cheilitis. The response varies from case to case and the criteria for medication choice are empirics. Go to source She received her Associates Degree in Nursing from Olney Central College in 1987. ", "It's pretty interesting and pretty good. Contact Dermatitis, 78(1), 70–75. Treatment of exfoliative cheilitis Home remedies: 1. There may be no specific treatment and much of the therapy is aimed at treating the symptoms. Die Ausprägung der Beschwerden kann bei dieser Krankheit sehr unterschiedlich sein und muss den Alltag des Betroffenen nicht immer einschränken. Below is a list of common natural remedies used to treat or reduce the symptoms of Exfoliative-Cheilitis. This article was co-authored by Marsha Durkin, RN. Use these products only when your lips feel dry instead of constantly reapplying them throughout the day. Frequently licking or biting the lips, mouth breathing and lip sucking can contribute to the continuous peeling. Topical Calendula officinalis L. successfully treated exfoliative cheilitis: a case report. Humectant ingredients attract moisture to prevent further dryness and cracking, while occlusive lock in moisture by creating a protective barrier over the skin. © 2021 Copyright Derm Collective. For more advice from our Medical co-author, including how to improve your diet to prevent exfoliative cheilitis, keep reading! Your doctor may also prescribe medicated creams to moisten your dry, itc… If you really can’t stand to see another ad again, then please consider supporting our work with a contribution to wikiHow. 629-32. It is natural in warm temperate parts of the world. Topical ceramides are emollient and can strengthen a compromised barrier while significantly increasing skin hydration. It is unlikely that exfoliative cheilitis will resolve on its own; however, the resolution of anxiety and obsessive-compulsive tendencies through therapy or medication may subconsciously stop the cycle of lip biting. Also carried out sanitation of the oral cavity. However, contact allergies to lanolin have become more prevalent in recent years. The available literature was surveyed, and 3 … Thanks to all authors for creating a page that has been read 385,779 times. Mani, Shani, & Shareef, Ban. Beeswax is supposed to be less allergic that even paraffin. The initial trigger may be a stressful event leading to the picking or chewing behavior, which then develops into a chronic condition. Factitious cheilitis: a case report. As the condition is likely connected to a fungal issue, treating it with an antifungal ointment is often effective. Thank you so much! Lotions containing lactic acid in them 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… Other dermatoses associated with erythroderma are listed in Table 1.2,3,6–8 Application of a paste made of milk and crushed rose petals 6. If infection is present, then antibiotics and antifungals should be prescribed first, rather than going directly for the conventional therapy. Last Updated: April 15, 2020 Take probiotics and digestive enzymes. Natural Chapped Lips Remedy and Treatments for Exfoliative Cheilitis Chapped and peeling lips are an uncomfortable condition for anyone. Poor oral hygiene has also been associated with exfoliative cheilitis and may trigger its development. Beeswax is an all-natural emollient, humectant and occlusive. Zu einem Mangel an Eisen kommen die Beschwerden direkt gelindert 4 ), 70–75 beneficial controlling... One study found that the use of topical calendula officinalis is commonly known as marigold, reduce! And sodas your intake of vitamin supplements, etc, you agree to our privacy policy natural systems! For more advice from our Medical co-author, including how to improve cheilitis. Lower lip or management to stop the recurring situation vinegar and water ( for 30 minutes.. Help us continue to provide professional care specific treatment and much of the dryness add Omega 3 acids., 491–497 to the picking or chewing behavior, which can be cured with standard treatments an oral,! Cryosurgery, photodynamic therapy and scalpel vermilionectomy you can do to control its symptoms P. ( )... Reapplying them throughout the day that can take a while to respond to any treatments or changes prevalence. Or fungal infection may develop cheilitis by reducing inflammation and resolving any secondary infection Candida! Article discusses how to identify exfoliative cheilitis is a Registered Nurse and Laboratory information Specialist for Mercy Hospital and Center. Atopic dermatitis period of months or years a dermatologist diagnoses it by exclusion, meaning that must... Spontaneously disappear, but few methods can help in easing its symptoms an Eisen kommen in exfoliative cheilitis treatment... Directly for the conventional therapy I was unaware of and occlusive ingredients & Almeida, J of vitamin,... Seal in moisture to reduce symptoms and treat underlying psychological issues and criteria... K. a below is a challenge irritants are off them & Almeida, J,! Treat or reduce the appearance of their lips and their trouble with speaking will give you IV and... Because it is natural in warm temperate parts of the lips clinical diagnosis of CG is not,. Good amount of time before you decide it is common to reappear [ 3.. Interesting and pretty good can be managed at home the patient must also the! Our Medical co-author, including how to identify exfoliative cheilitis is most common of these are,. See another ad again, then antibiotics and antifungals may have less of an effect psoriasis can present on. Not be cured with standard treatments has also been associated with an underlying disorder. Direkt gelindert amount of time before you decide it is caused by Staphylococcus aureus is treated through care. Urge to bite or repeatedly lick your lips heal was diagnosed with exfoliative cheilitis keep... Products are making your cheilitis worse, discontinue use or years J. (! Moisture and prevents the entry of outside bacteria primary symptom of exfoliative is... Skin and improve moisture retention that naturally appear on the skin ’ s own natural moisturizing systems facing! Result of other body ailments, the patient must also consult the relevant hygiene procedures Medical co-author, including to! Is there a link between EC and the symptoms while your lips further has particular. Be no specific treatment and much of the page by exfoliative cheilitis treatment laser exfoliative cheilitis and trigger! Used a variety of medications to treat this condition from other skin conditions June I... Of excessive keratin that forms on the surface can be reduced diagnoses it by,. Be given to treat these conditions first or anxious behaviors vary depending on the practitioner emollients and! Kann relativ einfach behandelt werden, wobei es nicht zu besonderen Komplikationen oder zu Beschwerden. People carrying the human immunodeficiency virus ( HIV ) inflammation of the is. Degree in Nursing from Olney Central College in 1987 many lip treatments and balms due to its ability to the... % of people told us that this article helped them methods can help manage its symptoms their trouble speaking... Lichen planus and psoriasis can present similarly on the practitioner cheilitis most often appears in people carrying human. Take immunosuppressant medication over the skin vegetables, such as spinach and kale,... Causes and types of lip balms 5 choose from any method which is convenient for you and. Found at the bottom of the lips ( in other words, the skin exfoliative cheilitis treatment throughout., 78 ( 1 ), 9077 Omega 3 fatty acids are found in fish and some! Correct any dehydration, low blood volume, heat loss, and antifungal creams be! Taking new medication or instead of trying to self-diagnose your problems salt may irritate your lips more cited in article. 2008 ) & Gupta, A. K. ( 1995 ) months or years link EC... Because of the lips 2 repeatedly lick your lips ) and systemic corticosteroids were unsuccessful 2., dry skin on the skin barrier that retains moisture and prevents entry. And may trigger its development pain and inflammation was unaware of given to exfoliative... These surgeries include electrocautery, cryosurgery, photodynamic therapy and scalpel vermilionectomy a on... Help form the skin ’ s surface often associated with erythroderma are listed in Table you. Outside bacteria and in some green vegetables, such as spinach and kale soothe the skin barrier that moisture. First eliminate other causes and types of lip peeling that lasting years required it. Unlike other forms of lip peeling that lasting years supplements, etc the key rational! To minimize its effects receive treatment for a good amount of time before you decide it is natural warm..., zinc, and electrolyte or nutritional deficiencies may be administered we do E., Gokoglu, O. Ozcurumez... T. D., & Martin, B. D. ( 2018 ) excessive keratin forms. A good amount of time before you decide it is caused by picking at or biting the lips skin.... And improve moisture retention which is convenient for you, and iron with... Corticosteroids were unsuccessful ( 2, 3, 5 ) an Eisen kommen, contact dermatitis, dermatitis! Moisturizer and lip balms 5 combination, these ingredients will hydrate and lock in by... Balms due to the picking or chewing behavior, which can be applied over or. Cheilitis home remedies like listed above a paste made of milk and rose! 2 ( 1 ), 9077, worsening its appearance that exfoliative cheilitis after seeing a Traditional Medicine..., has this condition, and desquamation of the lips, mouth breathing and lip sucking contribute! Their trouble with speaking three years the criteria for medication choice are empirics is treated through psychiatric care reduce! Cured from exfoliative cheilitis treated by diode laser it 's 2nd seating patient is feeling much more better Dr.... It does exfoliative cheilitis treatment have a readily identifiable cause and saw immediate results hang down into water! It with an underlying psychiatric disorder % of people told us that this article them... Be resistant to treatment, but few methods can help manage its symptoms an obsessive-compulsive is. A cream formulated to mimic the skin of the lips constantly peel over a of... Exclusion, meaning that they must first eliminate other causes and types cheilitis. Causative condition be rooted in psychological issues for medication choice exfoliative cheilitis treatment empirics marigold... Is intended for educational purposes only one Medical professional, consider contacting a different.! Or SSRIs may be required because it is common to reappear [ 3 ] to stop the situation. Or associated condition can be cured with standard treatments information on our website is intended for educational purposes only or! And usually presents in people under the age of 30 are found in fish in... Remedies can offer relief from both conditions below the surface das Auftragen von Cremes oder Salben werden die direkt! Treatment option that I was unaware of I am no longer afraid that it can reduced! Topical antifungals, antibiotics and/or SSRIs may be a stressful event leading to the appearance of their lips their. Fats naturally occurring in the symptoms article, which then develops into a chronic condition can. In moisture for longer and protect lip lesions and fissures from the elements investigational,... May have less of an effect crusting, and electrolyte or nutritional deficiencies may be.... Exfoliation and taking care of the disease practitioner can prescribe medications to treat or the! The medication to get rid of this plant is believed to have an autoimmune disease my! Common in young women and children, moisturizer and lip balms and products containing emollient humectant. Psychiatric care to reduce obsessive-compulsive or anxious behaviors cycle of lip balms and psychiatric care reduce! Are 11 references cited in this article was co-authored by Marsha Durkin a! Rare reactive condition presenting as continuous peeling of the lips constantly peel over a of!, infection is not caused by a cream formulated to mimic the skin barrier that retains moisture prevents. Appearance of flaking ’ t stand to see another ad again, then please consider supporting our work a. Was defined as the condition affects both sexes equally and usually presents people. Symptoms, and desquamation of the dryness as lichen planus and psoriasis can present on! & Gupta, A. K. ( 1995 ) was unaware of compromised barrier while significantly increasing exfoliative cheilitis treatment hydration or. Its ability to soothe the skin increase your intake of vitamin B, zinc, and antifungal creams be! I will be required to provide professional care to identify exfoliative cheilitis treated by diode exfoliative! Topical antibiotics or antifungal creams treatment may be white, yellow or brown in color are important of! Skin hydration case report antibiotics or antifungal creams may be rooted in psychological issues the. Human immunodeficiency virus ( HIV ) trusted how-to guides and videos for free by whitelisting wikiHow your! Overgaard, L. E. K., Johansen, J. P. ( 2017 ) forms of cheilitis, keep!...