The red border of the lips as an indicator of systemic diseases. Burning lips (burning lips) What disease can be on the lips

The red border of the lips is a unique anatomical formation that is located on the border of the skin of the perioral region and the oral mucosa. Being "borderline", it to some extent repeats the morphological and functional features both skin and mucous membranes. In recent years, there has been an upward trend in chronic diseases of the red border of the lips; some of them are prone to malignancy.

Often, the first signs of CCG diseases are not given due attention by both patients and dentists. The time frame for an outpatient dental appointment is quite limited, which requires algorithmization of the doctor's actions. Nevertheless, the first link that should identify the initial signs of CCG diseases is dentists. general practice. Often, the elements of the lesion (scales, cracks, erosion) identified by the doctor are regarded as the result of the irregular use of cosmetic products for the care of lips and facial skin, poor water quality and the influence of weather conditions. Long-lasting signs of reduced elasticity and superficial damage to the RCC epithelium should be considered as predictors of diseases that are characterized by a high risk of malignancy. As a rule, patients suffering from diseases of the red border of the lips turn to specialists of various profiles for their diagnosis and treatment - dermatologists, allergists, infectious disease specialists, otorhinolaryngologists, oncologists, and are also sent to diagnostic laboratories in order to determine the level of microbial contamination, in particular, Candida -flora. Often, the results of the diagnostic studies carried out are given an inaccurate interpretation and, as a result, medical tactics which does not always lead to success. The aim of this screening study was to identify diseases of the vermilion border of the lips in outpatient dental patients.

Materials and methods of research

The study involved 478 patients (279 women and 199 men aged 16-74 years) who applied for outpatient dental care at Exclusive-Dent Plus LLC (Kazan) in the period 2012-2014. When collecting an anamnesis, we found out somatic, allergic and oncological burden, as well as the presence of bad habits - smoking, licking/biting lips. We also recorded information on long-term use of pharmacotherapeutic agents (in order to analyze possible side effects) appointed by generalists. When examining the CCG, attention was paid to the clarity/emphasis of the mucosacutanea zone (the border between the CCG and the skin, also often referred to as the "Cupid's arc"), the presence of scales, cracks, edema, folding, the severity of the relief (including the mucosal zone) due to small salivary glands.

Palpation revealed the presence of an infiltrate at the base of the lesions, their pain, elasticity. To differentiate CCG lesions, the Fusion DOE diagnostic luminescent system was used, which makes it possible to detect foci of precancerous and cancerous changes in the epithelium during natural fluorescent imaging of healthy and pathologically altered tissues and transillumination in white and blue light with a green filter.

Research results

Out of 478 patients with direct complaints about the presence of lesions, only 18 patients applied for CCG, which amounted to 3.8%. These patients were diagnosed chronic fissure lips (central - 10 patients, paracentral - 3 patients, angular - 4 patients) and Manganotti's precancerous abrasive cheilitis (1 patient). All other patients (in the presence of any elements of the lesion on the CCG) did not complain, with the exception of the main reason for treatment - dental or periodontal disease. During the "targeted" history taking, patients complained of the following complaints: prolonged peeling of the lips, increased peeling and itching in the autumn-spring period, soreness of the lesion, sometimes painful opening of the mouth, the presence of crusts on the lips, when removed, the bleeding surface is exposed. Some patients note the presence of a whitish coating on the lips, scales, which provoke patients to lick their lips in order to bite the scales and moisten the surface of the CCG. Most patients with CCG diseases complained that overwork or stress worsened the course of the disease. Patients also note that the identified symptoms persist from 1-2 months to several years (up to 10). More than 50% of patients indicate the presence of bad habits (smoking, laying lips between the dentition) and irregular use of lip moisturizers. 46% of patients (219 people) had endocrine, gastroenterological, cardiovascular and comorbidities and were taking drugs prescribed by other specialists. Patients were under dispensary registration with an endocrinologist for the following diseases: autoimmune thyroiditis, thyrotoxic goiter, hypothyroidism; at the gastroenterologist - about gastroesophageal reflux disease, peptic ulcer stomach and duodenum (including Helicobacter pilory-associated), chronic cholecystitis, postcholecystectomy syndrome, irritable bowel syndrome; at the cardiologist/therapist - about hypertension, coronary disease heart, neurocirculatory dystonia.

In order to clarify the nature of lesions localized on the CCG, luminescent diagnostics was performed using diagnostic system FusionDOE. The main features of tissue luminescence in various modes are shown in table No. 1.

Table number 1. Features of visualization of changes on the red border of the lips using the Fusion DOE system

Modes/filters	Unchanged red border of the lips	Lesions on the red border of the lips
White light	Pink color, may be somewhat paler due to the "brightness" of the beam	With exfoliative cheilitis, the scales luminesce in a bright white color, in contrast. At typical form lichen planus (a symptom of "semolina"), small papules appear protruding, but the color contrast is minimal. With severe edema (allergic cheilitis, glandular cheilitis), this mode is not informative
White light with green filter	Green glow, the physiological color is blurred.	With exfoliative cheilitis, the scales luminesce in a bright intense light green color, the altered relief of the CCG is emphasized. In the typical form of lichen planus ("semolina" symptom), small papules appear protruding, the color contrast is enhanced by the whitish glow of the papules against the background of green CCG. With edema of the KCG (with cheilitis), only the emphasis of the relief is determined
blue light	The relief is clearly visible, the color is losing	With exfoliative cheilitis, the scales luminesce with a bright, intense blue-violet color. In the typical form of lichen planus (symptom of "semolina"), small papules appear protruding, the color contrast is enhanced by the bluish glow of the papules against the purple background of the CCG. With edema of the CCG, the nuances of the relief are clearly distinguishable, while the general background has a purple color.
Blue light with green filter	Losing both color and relief	With exfoliative cheilitis, the nuances of color and relief are blurred. In the typical form of lichen planus (symptom of "semolina"), small papules appear protruding, color contrast is blurred

We also attempted to identify some kind of clinical markers systemic diseases, "localized" on the QCG. Yes, at endocrine pathology(thyroid diseases) is characterized by a dry form of exfoliative cheilitis, in some cases - a persistent decrease in the elasticity of the CCG, which is difficult to treat using pharmacotherapeutic agents local action. In diseases of the gastrointestinal tract, thinning of the epithelial layer of the CCG is often detected, while the color is often assessed as "hyperemia" (due to the transillumination of dilated capillaries). With cardiovascular pathology, some desolation of the vascular pattern of the mucosal surface of the lip is determined, shading of the mucosacutanea zone, in the stage of decompensation cardiovascular diseases- CCG cyanosis.

Thus, CCG can serve as an indicator of systemic diseases. Mandatory components diagnostic complex for patients with lesions on the surface of the lips are the identification of anamnestic information about somatic burden and the use of luminescent diagnostic systems.

Literature

1. Anisimova I. V. Diseases of the mucous membrane of the mouth and lips. Clinic, diagnostics: tutorial/ I. V. Anisimova. - M., 2005. - S. 3.
2. Brusenina N. D. Lip diseases/ N. D. Brusenina, E. A. Rybalkina. - M.: MIA, 2005. - 186 p.
3. Wano M. Aesthetic medicine. Lip classification/ M. Vano // aesthetic medicine. - 2002. - V. 1, No. 3. - S. 184-188.
4. Vinogradov I. Yu. Clinical and morphological prognostic factors in cancer of the lower lip and their impact on treatment outcomes: abstract dis. … cand. honey. Sciences / I. Yu. Vinogradov. - Ryazan, 2003. - 22 p.

A complete bibliography is in the editorial.

One of the most common diseases of the oral mucosa are various forms of cheilitis. Permanent effect on the lips external environment with endless temperature fluctuations, increased risk of infection, participation of lips in the process of nutrition, exposure to environmentally unfavorable, and often harmful substances clogging the glands with lipstick leads to peeling, wrinkles, cracks and loss of color. Often, when an infection is attached, inflammatory diseases of the lips occur.

In recent years, the number of patients with this type of pathology has increased significantly. The reasons for this are very different - this is the deterioration of the environmental situation, and an increase in the frequency of secondary immunodeficiency states of the body and diseases. endocrine system, manifestations of an allergy and other reasons.

Cheilitis is an inflammatory disease of the lips with damage to both the mucous membrane itself and the red border. Under the collective term "cheilitis" they combine independent diseases of the lips of various etiologies, as well as lesions of the lips as a symptom of other diseases of the oral mucosa, skin, some metabolic disorders, etc. Therefore, the term "cheilitis" in isolation cannot be used as a diagnosis, as it only indicates on the localization of the inflammatory process. Known a large number of various types of cheilitis, often similar in clinical manifestations, but having a different origin, and, therefore, requiring adequate therapy.

Types of cheilitis

I. Primary (independent or proper cheilitis)

1. Exfoliative.

2. Glandular.

3. Contact allergic (actinic) cheilitis.

4. Meteorological.

II. Symptomatic or secondary cheilitis resulting from any disease

1. Atopic (combination of cheilitis with atonic dermatitis or neurodermatitis).

2. Eczematous (combination of cheilitis with eczema).

3. Macrocheilitis (combination of macrocheilitis with neuritis of the facial nerve and folded tongue).

4. Hypovitaminous cheilitis.

5. Cheilitis in diseases of the endocrine system.

Primary cheilitis

Exfoliative cheilitis

Primary (independent) cheilitis, exfoliative cheilitis - a disease of only the red border of the lips, accompanied by peeling. Exfoliative cheilitis is more common in women. Among the etiological factors, the vast majority of researchers assign the main role to dysfunction nervous system, various manifestations of psychopathology - anxious depressive reactions. In addition, a link has been established between hyperthyroidism and exfoliative cheilitis.

In recent years, the role of genetic conditioning and immunoallergic changes has been recognized in the pathogenesis of exfoliative cheilitis.

Clinical picture

By clinical course isolated dry form of exfoliative cheilitis and exudative. Both forms of exfoliative cheilitis are characterized by a certain localization of pathological changes - only the red border of the lips from the Klein line to its middle is affected. There is no spread of the process to the mucous membrane, skin. The part of the red border of the lips, bordering the skin, and the area of ​​​​the corners of the mouth are kept free from damage. In the dry form, patients are concerned about dry lips, sometimes burning, the appearance of scales, which usually bite. This state lasts for years. On examination, the following is determined: one lip or both are dry, there are scales that are tightly soldered in the center with a red border, their edges are raised. After removal of the scales, erosion usually does not occur, only a focus of bright hyperemia is noted. After 5-7 days, scales resembling mica form again.

The course of the disease is long, without a tendency to remission or self-healing. The dry form of exfoliative cheilitis can transform into exudative. The exudative form of exfoliative cheilitis is characterized by severe pain, swelling of the lips, the presence of abundant crusts that make it difficult to speak and eat. On examination, hyperemia of the Klein zone is determined, sometimes swelling, the presence of crusts of a grayish-yellow color. Sometimes the crusts hang down in the form of an apron with a significant severity of exudative phenomena, since the red border of the lips at the border with the skin is not affected.

The cause of significant exudative phenomena is considered to be a sharply increased capillary permeability. In prognostic terms, the exudative form of cheilitis is considered the most favorable.

Treatment

The therapy of exfoliative cheilitis presents certain difficulties and is based on integrated approach general and local methods of influence. Great importance is given to the impact on the psycho-emotional sphere. For this purpose, a neuropathologist or psychoneurologist appoints sedatives, tranquilizers, conduct psychotherapy. A consultation with an endocrinologist and, if necessary, the appointment of appropriate treatment are indicated. Locally - successful use of laser therapy, ultrasound administration of various hormonal agents, Bukki therapy ( radiation therapy).

To lubricate the lips, indifferent ointments and creams are used, and sometimes hygienic lipstick. The use of vitamins C and B is effective. To increase the reactivity of the body, the use of drugs such as pyrogenal, prodigiosan, and autohemotherapy is recommended. It is effective to use complex treatment immunocorrective drugs. Long-term treatment: 1-2 months, the prognosis is favorable.

Glandular cheilitis

This is a disease of the lips, caused either by congenital or acquired hypertrophy, heterotopia of the minor salivary glands and their infection. It is known that numerous glands of a muco-serous nature are normally located in various topographic zones of the mucous membrane, their largest number is located in the submucosal layer of the lower and upper lips and the soft palate. With anomalies of the lower lip, small salivary glands appear in the transition zone (Klein zone) and the red border of the lips. Puente and Acevedo (1927) first described in detail simple glandular cheilitis.

There are two forms of glandular cheilitis: primary and secondary. Primary called glandular cheilitis, not associated with other diseases of the lips. Secondary glandular cheilitis develops against the background of various diseases with localization on the lips (lichen planus, leukoplakia, etc.), in persons without congenital anomalies of the minor salivary glands. In the etiology of glandular cheilitis, the hereditary anomaly of the acini and ducts of the minor salivary glands with hyperplasia and heterotopia, accompanied by excessive secretion, is of primary importance.

Provoking factors include tartar, inflammatory periodontal disease, dental caries and other diseases that contribute to infection through the dilated openings of the excretory ducts of the salivary glands. Infection can also occur with toxins of oral microorganisms, their decay products and viruses.

The development of secondary glandular cheilitis is based on irritation of the glandular apparatus of the lip with an inflammatory infiltrate in leukoplakia, lupus erythematosus and other diseases localized on the lips. As a result of such irritation, glandular hyperplasia, increased secretion, lip maceration and infection develop.

Clinical picture

Glandular cheilitis develops mainly in people over the age of 30 years. It was noted that the lower lip is affected twice as often as the upper one.

At the beginning of the disease, patients note a slight dryness of the lips and peeling. With such complaints, patients usually do not go to the doctor for help. Subsequently, with the development of the disease and its progression, pain appears due to erosions and cracks. When viewed on the mucous membrane of the lips, enlarged openings of the terminal sections of the excretory ducts of the salivary glands are visible in the form of red dots, from which drops of saliva are released - a symptom of dew. Due to the periodic wetting of the lips with saliva and its evaporation, dryness develops, maceration, cracks, and erosion are possible. This is facilitated by trauma and a violation of the elasticity of the tissues of the lips. Clinical manifestations of secondary glandular cheilitis combine complaints and symptoms characteristic of the underlying disease that caused it, as well as signs of primary cheilitis. With the development of a purulent process in the small salivary glands, an abscess of the lip may develop - purulent glandular cheilitis. Diagnosis of glandular cheilitis is not difficult, since clinical symptoms its very idiosyncratic.

Treatment

In the treatment of glandular cheilitis, anti-inflammatory ointments are used (tetracycline, erythromycin, as well as flucinar and synalar-ointments, oxalin ointment, etc.). However, the most justified method is electrocoagulation of hypertrophied salivary glands or their exfoliation. surgically. Successful is the use of laser ablation using a surgical laser. Treatment of secondary glandular cheilitis involves timely and proper treatment underlying disease and anti-inflammatory therapy. For the purpose of prevention, sanitation of the oral cavity, elimination of dryness, maceration of the lips, normalization of microbiocinosis of the oral cavity and clinical examination of patients are necessary.

Contact allergic cheilitis

This is a disease of the lips, which is based on a delayed-type allergic reaction to a variety of irritants when they come into contact with the red border of the lips. Clinical manifestations of contact cheilitis were first described by Miller and Taussig in 1924. Contact allergic cheilitis is diagnosed mainly in women over the age of 20 years. The etiological factors of allergic contact cheilitis are chemicals that are part of lipstick, toothpastes, denture plastics, etc. Cheilitis may occur from contact with metal objects (wind instrument mouthpieces, pencils, pens and other objects). Perhaps the development of professional contact allergic cheilitis. Pathological changes develop when the body is predisposed to allergic reactions and sensitization to various chemicals.

Clinical picture

Patients complain about the appearance severe itching, burning, swelling and redness of the lips. In the anamnesis, contact with various irritating factors and exacerbation of the disease with repeated exposures are noted. On examination, reddening of the red border of the lip is revealed, rarely spreading to the skin and mucous membrane. With pronounced inflammatory phenomena, small bubbles appear, after opening of which erosion and cracks form. In other cases, the described subjective sensations are accompanied by peeling without significant inflammatory response.

Treatment

In the treatment of contact allergic cheilitis, the establishment and elimination of the irritant is of primary importance. Topical use of ointments containing corticosteroids with antiallergic, antipruritic and anti-inflammatory effects (flucinar, prednisolone, fluorocort and other ointments). In addition, hyposensitizing therapy is carried out, suprastin, diphenhydramine, fencorol, claritin or other drugs are prescribed orally.

Meteorological (actinic) cheilitis

This disease belongs to the group of inflammatory changes in the lips, which are based on increased sensitivity to solar insolation, cold, wind and radiation. The disease is more common in men aged 20-60 years.

Main etiological factor is exposure to ultraviolet rays in the presence of increased sensitivity to solar insolation.

Clinical picture

According to the clinical course, two forms of the disease are distinguished - exudative and dry. With the exudative form, patients are concerned about itching, burning of the lips, the appearance of erosions, crusts. On examination, the red border of the lower lip is slightly edematous, hyperemic. Small bubbles or erosion can be observed after they are opened, crusts appear. These changes cause pain. The clinical picture of this form of cheilitis resembles the exudative form of contact allergic cheilitis. However, solar insolation or exposure to cold acts as a sensitizing factor.

The dry form of actinic cheilitis is manifested by dry lips, burning, and sometimes pain. On examination, erythema of the lips, small whitish scales are noted. gray color. Subsequently, abrasions and erosions may appear. Malignancy of actinic cheilitis is possible under the condition of a long existence of the disease, the addition of other irritating factors: dust, humidity, smoking, etc.

Treatment

Treatment includes, first of all, the cessation of the adverse effects of solar insolation or other meteorological factors. Local use of ointments with corticosteroids (hydrocortisone, prednisolone, etc.). Apply protective creams from ultraviolet radiation. Inside, vitamins of group B, PP, etc. are prescribed. Meteorological cheilitis can contribute to the occurrence of obligate forms of precancer (limited hyperkeratosis, abrasive pre-cancer cheilitis of Manganotti, etc.).

Secondary cheilitis

Atopic cheilitis

It belongs to the group of symptomatic diseases of the lips, namely, it is believed that this type of cheilitis is a symptom atopic dermatitis or neurodermatitis. Typical clinical symptom diffuse neurodermatitis is itching of the skin, followed by the development of erythema, excoriations and lichenification. Localization of pathological changes is characteristic: on the elbows, skin of the face, neck. In the etiology of atopic cheilitis, great importance is given to genetic factors that can create conditions for the development of an allergic reaction. Allergens can be drugs, cosmetics, food products, as well as bacterial and physical factors.

Clinical picture

Patients with atopic cheilitis complain of itching of the lips, redness, peeling of the red border of the lips. On examination, there is a slight swelling of the red border of the lips with the involvement of adjacent skin areas in the pathological process. Characterized by damage to the corners of the mouth, which appear to be infiltrated. As the acute phenomena of inflammation subside, peeling and lichenification are observed. Infiltration, dryness of the corners of the mouth lead to the formation of cracks. Changes in the lips are combined with dryness, peeling of the skin of the face.

Treatment

Preference is given to hyposensitizing agents (suprastin, diphenhydramine, fencarol or other drugs), vitamins of group B (riboflavin, pyridoxine, etc.) are prescribed. intravenous infusions sodium thiosulfate 30%, histoglobulin. Tranquilizers are used (seduxen, tazepam, etc.) to reduce itching. Locally, antiallergic, antipruritic ointments are also used: prednisolone, hydrocortisone, etc. With little effect from conservative therapy, persistent course of the disease using the border rays of Bucca. Substances that cause sensitization are excluded from the diet: caviar, chocolate, strawberries, citrus fruits and other fruits, as well as spicy and spicy foods.

Eczematous cheilitis

It is also referred to as symptomatic diseases of the lips and is considered as a symptom of eczema, which is based on inflammation of the surface layers of the skin of a neuro-allergic nature. Allergens can be a wide variety of irritants - from microorganisms, drugs to materials of prosthetic structures and components of toothpastes.

Clinical picture

The disease can be acute and chronic. In the acute stage of the disease, patients complain of burning, itching in the lips, swelling and redness of them. In this case, erythema, swelling of the lips with the spread of pathological changes to the skin is observed. At the same time, the appearance of vesicles, weeping, crusts is possible. Consequently, the polymorphism of the elements of the lesion of both lips and the involvement of the skin in the process are characteristic.

The transition to the chronic form of eczematous cheilitis is characterized by a decrease in the severity of acute inflammatory phenomena (edema, hyperemia) and compaction due to inflammatory infiltration, the formation of nodules, scales. All the described changes in eczematous cheilitis develop on previously unchanged lips. Clinically, eczema complicated by a secondary infection is manifested by swelling, reddening of the lips, vesicular rash, and crusting. With the cessation of blisters, peeling appears.

Treatment

Hyposensitizing and sedative agents are used. Necessary general treatment eczematous lesion. Locally apply lubrication of the lips with ointments containing corticosteroids.

Macrocheilitis

This is a disease of the lips, characterized by persistent swelling or enlargement of the muscular stroma. A disease characterized by a triad of these symptoms is called the Melkersson-Rossolimo-Rosenthal syndrome. In the etiology of the disease, they attach importance to the infectious-allergic factor, as well as hereditary predisposition. It is assumed, in addition, that the described syndrome is an angioedema.

Clinical picture

Patients are concerned about the itching of the lips, an increase in its size, sometimes the appearance of edema of other parts of the face. Patients note the prolonged existence of edema, sometimes some improvement is spontaneously observed, but a relapse occurs. On examination, the skin in the lip area is shiny, its color is not changed. The skin in the lesion acquires a bluish-pink tint. Localization of edema: one or both lips, cheek, eyelids, other parts of the face. The defeat of the facial nerve is manifested in the distortion of the face in a healthy direction, smoothing of the nasolabial fold. Folded tongue, apparently, is not a symptom of the disease, but an anomaly of development. Detection of an edematous-folded tongue is considered a pathognomonic sign of the syndrome. Diagnosis of the Melkersson-Rosenthal syndrome can be difficult, since the patient does not always have all three signs at the same time: macrocheilia and neuritis or macrocheilitis with a folded tongue can be observed. Perhaps the presence of one macrocheilia, followed by the addition of other signs of the disease. Differential diagnosis carried out with Quincke's edema, lymphangioma, hemangioma. It should also exclude collateral edema of the lips with periostitis and abscess.

Treatment

In the treatment of macrocheilitis, the main role belongs to the combination of immunocorrective, desensitizing and antiviral therapy. Corticosteroids are prescribed (dexamethasone 3-5 mg / day, for a course of 125 mg), oxytetracycline 100,000 IU 4-6 times a day, antihistamines - tavegil, suprastin, fencorol, histoglobulin, Vitamins C, B, PP. Immunocorrectors - T-activin, likopid, etc. Antiviral - bonafton, acyclovir, zovirax, leukinferon. The use of laser therapy on the area of ​​​​the lips and areas affected by neuritis of the facial nerve has a certain effect. With persistent forms during remission, stimulating therapy with pyrogenal, prodigiosan and other drugs is carried out. With neuritis, physical factors, Bernard currents, ultrasound, etc. are used. A good result is obtained from electrophoresis of heparin ointment or its applications on the lip along with dimexide. If hypersensitivity to bacterial allergens is detected, specific hyposensitization with bacterial allergens is used. WITH cosmetic purpose surgical excision of part of the lip is used, but this does not prevent recurrence. IN Lately there have been reports of the effective use of hirudotherapy ( medicinal leeches). The prognosis - with timely access to a doctor and adequate therapy - is favorable.

Hypovitaminous cheilitis

The most common characteristic cheilitis develops with hypo- or avitaminosis of group B (vitamin B2 deficiency is especially important). It is characterized by burning and dryness of the mucous membrane of the mouth, lips, tongue. The mucous membrane is hyperemic, small scales (peeling) appear on the red border of the lips. Small vertical cracks form on a dry and hyperemic red border, often these cracks bleed. In the corners of the mouth, against the background of hyperemia, painful cracks form (angular cheilitis, seizure). At the same time, glossitis develops, which is characterized by atrophy of the filiform papillae, the surface of the back of the tongue becomes smooth, acquires a bright red color, and the fungiform papillae hypertrophy. The tongue increases in size, and teeth marks are often visible.

Thus, the treatment of many diseases of the lips is a difficult task, but knowledge of the causes and mechanisms of the development of diseases makes it possible to achieve positive result, for this you need to contact a dermatologist.

Elena Viktorovna TATARINTSEVA, dermatovenereologist

Lip diseases: how to identify and treat

Lips can be chapped, cracked in cold or windy weather, with a lack of vitamins. Unhealthy lips look during various illnesses, for example, with a cold, elevated temperature body, viral infections, allergic reactions. We will talk about how to distinguish and cure some diseases of the lips in the article.

What are lip diseases?

Specialists distinguish cheilitis proper and symptomatic cheilitis. In the first case, the disease is divided into exfoliative, glandular, meteorological, actinic, and in the second - into atopic, eczematous forms. This also includes chronic cracked lips. In addition, cheilitis often becomes a companion of hypovitaminosis.

Exfoliative cheilitis

Provocateurs: stress, heredity, mental disorders, low immunity.

Signs: with a dry form, dry light peeling crusts appear throughout the entire zone of the red border of the lips, the lips turn red, peel off, you constantly want to lick your lips. In another form of the disease, the lips are red, sore, burn, they swell and become covered with a gray-yellow crust between the red border and the mucosa. There are no erosions under the crusts, which are easily removed. Calming sedatives will help to cope with the problem. Lubricate lips with indifferent creams, removing crusts with a 2% solution of boric acid. The effect is given by Bucca radiation at 2 Gy several times a week. A specialist can prescribe drugs that increase the body's resistance to external influences, for example, Pyrogenal.

Glandular cheilitis

Inflammation of the lips is associated with the work of the small salivary glands, often develops in men over 50. On the red border of the lips, you can see red dots with droplets of saliva (the so-called symptom of "dew drops"). Lips are constantly moisturized, moisture evaporates from them, so they dry quickly, become covered with cracks and erosion. When an infection enters the dilated ducts of the glands, the lips become covered with pus, swell, and hurt. In this case, anti-inflammatory ointments are needed, say, hydrocortisone, prednisolone. To reduce the ducts of the salivary glands, they are excised, electrocoagulation is prescribed.

Meteorological cheilitis

Humidity with cold, wind, frost, structural features of the skin and chronic skin diseases can cause redness, swelling, tightening, peeling, dry lips and cracks. Licking the lips moisturizes them. Avoid adverse natural factors, treat lips with protective emollient creams, if necessary - with corticosteroid ointments, strengthen the body with multivitamins.

actinic cheilitis

Lips can be very sensitive to ultraviolet light, so long exposure to the sun provokes this disease. The lips become dry, start to hurt, become covered with cracks, scales, turn red. If nothing is done, ulcers and erosions will develop with areas of thickening of the lips. The chronic form turns the disease into a malignant one. Symptoms can be relieved with photoprotective creams, corticosteroid ointments, for example, prednisolone, Flucinar. The specialist prescribes a course of vitamins, nicotinic acid and sometimes antimalarial drugs (the same Delagil 0.25 g several times a day for two to three weeks), as well as Prednisolone 10 mg per day.

Atopic cheilitis

As a symptom of neurodermatitis and atopic dermatitis in children and adolescents, the disease is manifested by redness of the lips, dryness, peeling and cracks on them. This type of cheilitis is provoked by medicines with household dust, plant pollen, microorganisms, bacteria, food and other allergens. Doctors recommend Suprastin with Claritin, Phencarol, B vitamins. If the treatment is long, a 2-3-week course of corticosteroids is needed. Topical corticosteroid ointments can be used up to five times a day. Bucca's boundary rays help. While treatment is in progress, exclude possible allergens and carbohydrates from the menu.

Eczematous cheilitis

The acute stage is characterized by the appearance of vesicles, crusts, scales on the red border, swelling, pain, burning, itching on the lips, while the surrounding skin is affected. At chronic form edema with redness is less, but the areas of the lips and the lesions of the skin are thickened, the lips are covered with scales, peel off. Symptoms can be relieved by desensitizing and sedatives treat areas of inflammation with corticosteroid ointments and antimicrobials such as Lorinden S, Sinalar-N, and Dexocort.

Chronic cracked lips

The integrity of the tissues on the lips can be broken along their border, on the skin and in the corners of the mouth. Cracks heal for a long time, appearing due to individual features the structure of the lips, their dryness, chronic trauma, licking, sucking lips, smoking, stress, chronic diseases. A single, deep, linear crack may run across the vermilion border of the lips, cause pain, and spread to the skin. When the disease is not treated, the crack becomes covered with brown crusts, the surrounding tissue swells and hurts. Lip movements during eating and talking do not allow cracks to heal quickly, sometimes they become malignant. A good effect in the treatment is given by sea buckthorn oil, rosehip oil, and Solcoseryl, ointments - indomethacin, tetracycline, based on calendula.

Elena Malysheva will tell you about what diseases you can find out by the condition of the lips

Inflammation of the skin around the mouth causes physical and emotional discomfort. It can be exacerbated by the formation of cracks, bubbles and erosion. With untimely treatment, wounds in the corners of the lips can bleed, fill with pus, serve as a gateway for pathogenic bacteria and infection to enter the body. Therefore, when irritation appears in the corners of the lips, the cause of the pathological process should be found out and treatment should be started immediately.

Causes of redness in the corners of the lips

Photo 1: Inflammation in the corners of the mouth may appear due to external or internal factors affecting the body. TO external factors include: strong wind, frost, mechanical damage skin at the dentist (mirror or drill), daily use of dentures. Source: flickr (Vitebsk Courier).

Also, this group of factors includes a regular cry, as a result of which the corners of the mouth are stretched and injured.

Internal factors causing redness of the skin around the mouth

• metabolic disorders in the body;
• viral, fungal or bacterial infection (herpes, cheilitis, candidiasis, syphilis);
• beriberi or hypovitaminosis (especially B vitamins);
• diabetes;
• bite deformity;
• allergic reactions;
• long-term use of antibiotics and hormonal drugs;
• psycho-emotional stress and stressful situations that contribute to the release of adrenaline.

Photo 2: Do not forget that the causes of inflammation of the corners of the lips can be bad habits (smoking, drinking alcohol or licking a ballpoint pen). Source: flickr (Molly).

Disease symptoms

Redness, peeling, itching in the corners of the mouth indicate the presence of a pathological process in the body. Diseases that cause skin changes around the mouth can be caused by bacteria, fungi, or viruses.:

• Viral diseases of the lips include herpes- an infectious disease, accompanied by swelling of the lips, hyperemia, burning, itching. Bubble formations filled with a colorless liquid appear on the inflamed area.. After a while, the bubbles burst, the liquid flows out, leaving weeping sores, which are covered with a dense crust.
• Angular cheilitis- an inflammatory process on the skin that occurs due to infection with a streptococcal infection. Symptoms of the disease - the appearance of blistering formations covered with a thin layer of the epidermis. After the bubbles burst, jams (erosive formations) appear. The wounds are covered with a purulent crust. The wound surface is easily injured, bleeds. A characteristic feature of angular cheilitis is acute pain in which the patient finds it difficult to talk, eat.
• Candidiasis- a fungal infection caused by fungi of the genus Candida. On the affected area note white coating which is easy to scrape off. The skin of the corners of the lips is tightened, bleeding ulcers appear.
• Primary syphilis- an infectious disease, accompanied by the formation of a hard round ulcer. The seal does not merge and does not increase in size. The manifestation of syphilis on the lips is characterized by a dense structure and the absence of bleeding.. The surface of the inflamed area is covered with a gray coating.
• Allergy- accompanied by reddening of the lip contour, swelling, itching and flaking.

Redness and peeling at the corners of the mouth

Peeling of the corners of the lips, combined with redness, indicates an allergic reaction. for food or drugs.

Secondary reasons may be:

• lack of vitamin A;
• dehydration of the body;
• diseases of the gastrointestinal tract;
• dermatitis;
• the use of decorative cosmetics of poor quality.

When there is peeling of the corners of the mouth, which is accompanied by pain, a doctor can diagnose exfoliative cheilitis.

Exfoliative cheilitis - an inflammatory lesion of the red border of the lips. Arises this pathology due to neurogenic factors. The defeat of the lips accompanies the formation of dry scales of gray color. Under the scales, the surface of the skin has a bright red tint, without the formation of wounds and ulcers.

Photo 3: Most clear sign lack of vitamin A in the body is peeling of the lips and the formation of jams. In order to relieve symptoms, lubricate the lips with retinol in oil form and eat foods containing vitamin A. Source: flickr (minji lee).

Redness and itching at the corners of the lips

Redness and itching appear as a result hormonal disruptions, prolonged exposure to the sun, allergies. Increased itching in the lips may be a symptom of anemia or diabetes. But the most common skin disease with this symptomatology is glandular cheilitis.

Glandular cheilitis- inflammation of the salivary glands. It mainly affects the lower lip. Disease symptoms - swelling of the lips, redness, the formation of red spots, itching, tightness of the skin, aching pain.

Treatment of inflammation of the corners of the lips

Increased dryness, peeling and itching in the corners of the mouth is an indicator that characterizes the disease of the whole organism as a whole. If the wounds do not go away within a week, they appear purulent discharge, should seek medical treatment.

This is interesting! There is a misconception that wounds in the corners of the lips heal faster after cauterization with alcohol. You shouldn't do this! Since alcohol provokes the formation of peeling and burn surface, which will prolong the healing process.

Antihistamine ointments and tablets are used to treat allergic inflammation.

To eliminate increased peeling, ointments are prescribed, which contain a large amount of vitamins (Radevit).

Also you can lubricate your lips with freshly squeezed aloe juice or oil tea tree .

Ointments such as Acyclovir, Gerpevir will help in the treatment of viral skin lesions (herpes). To achieve an antimicrobial effect, the corners of the mouth should be wiped with a decoction of chamomile.

With purulent formations, ulcers and blisters, the inflamed area should be treated with a solution of furacilin. In case of education open wounds, you should sprinkle them with crushed Streptocide.

Daily rubbing with a decoction of oak bark and calendula helps to heal wounds and destroy pathogenic microorganisms.

homeopathic treatment

Homeopathic remedies help eliminate the cause of redness and inflammation. Treatment with microdoses contributes to the development of one's own immunity. This leads to recovery and a reduced risk of relapse.

A drug	Symptoms
	Inflammation of the corners of the mouth, which are accompanied by pain, the formation of cracks and dense crusts.
	Cracks appear at the corners of the mouth. The inflammation goes to back wall oral cavity. There is a strong salivation.
	The formation of cracks in the corners of the mouth, with the appearance of a large number of ulcerative areas filled with pus.
	Inflammatory process of the oral cavity, accompanied by cracked lips, foamy plaque on the tongue, ulcerative formations.

Lips are a very delicate, sensitive and vulnerable part of the body that requires careful and careful care. may indicate serious problems with human health, therefore, it is very important to provide proper care for the lips and, at the first signs of the disease, immediately begin treatment, without postponing the course of the disease to chance. The most insignificant manifestations of the symptoms of the disease at first glance, over time, can turn into a serious disease of the lips, which poses a threat to health.

The main and common diseases of the lips, the causes that provoke their occurrence and treatment of diseases

Herpes is a disease of the lips, provoked by viral microorganisms. Viruses of the genus herpes simplex, which affect most of the earth's population, are in the body of every person and do not manifest themselves until they are created " favorable conditions”, provoking the development of viral organisms herpes.

Causes of herpes

It manifests itself in viral and infectious diseases, acute respiratory viral infections, tonsillitis, influenza, with severe overheating under the open rays of the hot sun, as well as with excessive overwork, emotional disorders and other diseases that weaken the human immune system.

Symptoms of the disease:
- sensation of itching on the lips;
- manifestation of small watery blisters;
- ;
- Pain in the area of ​​the affected area.

This disease can be transmitted through dishes, shared towels, lipstick, kisses. It is not recommended to pierce infected blisters, because the infection can spread to neighboring skin areas - the nose, chin, skin around the lips.

Treatment of the disease

Effective remedies for the treatment of herpes: Zovirax, Gerpevir, Streptocid Ointment, Flucinar - these medicines can be purchased at a pharmacy.

Among the folk remedies for the treatment of "fever on the lips" effectively help:

Melissa oil (great for itching on the lips);
- lotions from the infusion of birch buds, chamomile (helps reduce inflammatory processes, accelerates the healing process);
- eucalyptus, bergamot, lavender essential oils(prevent the development of viral organisms).

If you start treating herpes at the first symptoms of the disease before the primary rashes appear, then the healing process will last only a few days, and blisters on the inflamed lip may not appear at all.

The term "cheilitis" is collective, this name includes many diseases of the same type of lips, but with different etiologies and with a variety of clinical manifestations.

There are various reasons that can provoke the development of cheilitis: beriberi, meteorological conditions, various kinds of fungi, allergens, pathogenic microorganisms, infections and others.

Varieties of cheilitis
- Catarrhal cheilitis can occur due to injury to the skin of the lips, as well as severe weathering in the cold. Symptoms: severe swelling of the lips, the formation of scales. For the treatment of catarrhal cheilitis, B vitamins and keratoplasty are used.

Glandular cheilitis. Symptoms of the disease: the appearance of dryness, cracks and erosions on the lips, heterotopia and infection of the salivary glands are possible. Treatment of the disease, as a rule, is carried out using laser ablation or electrocoagulation by a dentist.

Exfoliative cheilitis. Symptoms: peeling of the border of the lips, accompanied by pronounced pain. Causes of the disease: disorders in the nervous system, depression, an excess of hormones produced by the thyroid gland. Treatment is carried out with the help of sedative, thyreostatic drugs, tranquilizers, ultrasound, autohemotherapy. Only an experienced specialist should select and prescribe a treatment method. With adequate and proper treatment, after 4-6 weeks, this lip disease will disappear forever.

Eczematous cheilitis. The manifestation of erosion, peeling and spots on the lips in this case are symptoms of serious disorders in the body. Initially, you need to cure the root problem, and after that, treat the damaged skin of the lips with antiseptic ointments.

Contact allergic cheilitis. Symptoms of the disease: redness of the skin of the lips, swelling, burning, itching, the presence small rash, after which cracks and erosion remain on the lips. The cause of the disease is a common allergy. Treatment can only be given after complete examination and identify the cause that provoked irritation.

Meteorological cheilitis. Symptoms: peeling, dry lips, inflammation, cracks,. The causes of the above symptoms are associated with weather conditions affecting the skin of the lips. To treat this type of cheilitis, it is necessary to use anti-inflammatory, antiseptic and healing ointments, as well as creams designed to protect the lips from ultraviolet radiation.

There are a lot of varieties of cheilitis and some of them speak of serious health problems. Therefore, it is important to seek medical help in a timely manner. Determine the disease of the lips, the causes of its occurrence and prescribe necessary treatment in this situation, only an experienced specialist is capable.

Seizures - a disease of the mucous membrane of the corners of the lips, which can be caused by fungi of the genus Candida or streptococci. Also, the cause of jamming on the lips can be: infections, beriberi, taking antibiotics, the habit of constantly licking and biting lips, excessive alcohol consumption and consumption of large amounts of sugar.

Zayed treatment

Before starting treatment, it is necessary to identify and eradicate the causes that provoke the formation of erosions in the corners of the lips. If seizures appeared during the treatment of any diseases with antibiotics or erosion caused by an infection or fungus, you should consult a doctor.

If the seizure is caused by streptococcus, a blister forms in the corner of the mouth, and a slit-like erosion soon forms in this place, which constantly bleeds.

If the cause of candida seizures is a bright red erosion that is periodically covered with a gray-white coating in the corner of the lips. Treatment of jam on the lips directly depends on the factors that caused this disease. An experienced specialist, after conducting a proper examination, will determine the causes of this disease and will prescribe the necessary medications for effective treatment.

Ways to treat jamming at home:
- Drink more liquid, it helps to accelerate the process of renewal of the skin of the lips.
- Lubricate the affected area of ​​the lips with anti-inflammatory healing agents. To make the seizures disappear sooner, tea tree, rosehip, olive, linseed and sea buckthorn oils will help.
- Herbal lotions. Lotions of herbal infusions (chamomile, calendula, celandine, sage, alder cones, oak bark) will help from jamming. A cotton pad soaked in the infusion is applied to the lip several times throughout the day.
- Propolis is a substance that has anti-inflammatory, bactericidal, softening and healing properties. Propolis oil effectively heals seizures. Preparing it is quite simple: propolis (10 gr.) + butter (100 gr.), heat the mixture in a steam bath (for 10 minutes), strain and place in a glass container (made of dark glass!). Lubricate the wounds on the lips with the resulting oil 3-4 times a day.
- Apple mask will help get rid of jam. It is necessary to grate one apple and mix with butter (50-70 gr.). Apply the resulting mask on the damaged area of ​​the lips.
- Cottage cheese + carrot juice. Apply the mixture on the lips (for 5-7 minutes) 3 times during the day.

Jamming is an unpleasant and fairly common problem, therefore, it is important to start treatment in a timely manner and regularly take preventive measures.

Stomatitis

Stomatitis is an inflammation of the mucous membrane of the oral cavity and lips, accompanied by the appearance of aphthae and ulcers. The causes of this lip disease can be radiation exposure, trauma, thermal and chemical burns, GI disorders, endocrine disorders, allergies, infections, intoxications and others. If signs of stomatitis appear, you should immediately consult a doctor. For the treatment of stomatitis, it is necessary, first of all, accurate diagnosis causes of the disease, because most of the dangerous diseases (syphilis, tuberculosis, diabetes, etc.) initial stages appear as stomatitis.

If stomatitis is due to local factors, you can take folk methods treatment of this problem, having previously coordinated the treatment with the doctor. To speed up the healing process will help:
- infusion of chamomile (a glass) + boric acid (5 gr.), Wetting a cotton pad in the infusion, apply lotion to the lips every 3-4 hours.
- lubricate the sores on the lips with fresh aloe juice and Kalanchoe.
- St. John's wort enhances skin regeneration, has an antiseptic, antibacterial and healing effect, St. John's wort is excellent in the treatment of stomatitis.
- propolis reduces pain syndrome, promotes healing of ulcers, disinfects and disinfects. After treating the wounds with hydrogen peroxide (3%), apply an alcohol infusion of propolis on the damaged lips and dry with warm air until a propolis film is formed (repeat the procedure for 4-6 days).

Prevention lip diseases First of all, it is to strengthen the immune system. Correct daily routine balanced diet, a mobile lifestyle, food enriched with vitamins, hygiene rules - all this strengthens the body and human immunity, and, as you know, a strong, strong, healthy body gets sick less often and malfunctions, which manifest themselves in the form of diseases.

It is very important to closely monitor your health, take care of the condition of your lips daily and treat even the slightest chapping in a timely manner - such measures will help to avoid such a serious disease as lip cancer. Be healthy!

Inflammation on inside lips with redness and swelling, itching and burning sensation, is - inflammation of the oral mucosa.

Such inflammation in adults often develops when the immune system is weakened.

"Entrance gates" for infection are microtraumas of the mucous membrane of the inner side of the lips that occur when brushing teeth, chewing food, dental procedures. The causative agents of infection penetrate the mucous membrane, provoking the development of inflammation. Pathogenic microorganisms are always present in the microflora of the oral cavity, however, the immune system does not allow them to multiply, and when it fails, pathogenic microflora begins to develop intensively, causing inflammation.

Based on the degree of damage to the mucous membrane, there are:

• catarrhal;
• ulcerative;
• aphthous stomatitis.

The appearance of catarrhal stomatitis due to non-observance of oral hygiene, the presence of teeth affected by caries, significant deposits of stones.

If left untreated, its next stage is often ulcerative stomatitis(although it can occur on its own). Ulcers are round or oval shape with a reddish edging affect not only the surface layer, but also penetrate deep into the tissues, causing pain. If you continue to not engage in treatment, colonies are formed from the ulcers, which, merging, spread from the inside of the lips to the entire oral cavity.

The phenomenon is far from rare. Initially, bubbles appear that quickly burst, leaving deep, painful ulcers with a white center and a red border. The sensitivity in the mouth increases, swelling and bleeding of the gums appear, the body temperature rises, up to high values. External manifestations are so painful that they interfere with eating and speaking.

The inner surface of the lips is often affected by the herpes virus. Once penetrated into the body, it is not completely cured, and from time to time it makes itself felt, activating when immunity is reduced or severe stress. Herpes on the inside of the lips is not so noticeable to others, but no less dangerous.

Stomatitis in adults is often the result of other diseases: diabetes, blood or cardiovascular problems, an allergic reaction.

Treatment of inflammation on the inside of the lips

Treatment mild form inflammation reduced to the use of oral baths with antiseptic solutions- furacilin, potassium permanganate, chlorhexidine. The use of non-hot, liquid, non-irritating food is recommended.

Moderate and severe forms of inflammation require the use of anti-inflammatory and antiviral agents.

To increase the body's defenses immunostimulatory therapy is indicated.

When inflammation subsides use agents that improve the healing of sores - or rose hips, Solcoseryl dental ointment, Mundizal-gel, Piralvex gel or solution.

Today the site Beautiful and Successful is once again concerned about the beauty and health of your lips. Everyone knows that lips are a special part of the face. Always look at the lips. With just one movement of the lips, you can say more than a hundred sentences. That is why it is important how they look. No girl will like it if something is wrong with her lips. And this, unfortunately, happens quite often. And nothing else if they are weathered - we know how to deal with this. And what to do if there is inflammation of the border of the lips? As you understand, the usual hygiene is not enough here. And about what you can "get by" read below.

What can cause inflammation of the lip border?

Finding the cause of the problem means almost solving it. This well-known rule applies here as well.

The most common cause of inflammation is Shake out your makeup bag and carefully examine every tube of lipstick, every cream, every balm - everything that could touch your lips. Be sure to check the expiration dates! Perhaps this lipstick has already gone out a hundred years ago, and you still wear it, and then you wonder what is wrong with your lips.

If everything is in order with cosmetics (its quality and expiration date), and the border of the lips is inflamed, pay attention to other irritants. It can be toothpastes and mouthwashes. Look for strong allergens around you - after all, inflammation of the border of the lips can be a common manifestation of an allergy.

Also, the border of the lips can become inflamed due to ultraviolet. Remember that the sun always shines, and not only in summer, and carefully protect your lips from harmful effects sunlight.

What to do if the border of the lips is inflamed?

Inflamed lips are treated the same way. Lips intensively moisturize, nourish and disinfect. by the most in a simple way self-treatment there will be a purchase of corticosteroid ointment in a pharmacy. It is applied to the inflamed areas several times a day. It will not be superfluous to constantly use hygienic lipstick or lip balm.

What to do if the inflammation does not go away?

Alas, it is not always possible to cope with inflammation of the border of the lips on your own. Have been using corticosteroid ointment for a week now and still no improvement? In this case, the site site recommends that you drop everything and quickly run to a dermatologist - you have cheilitis.

But what is cheilitis? This word is called inflammation of the lips. Cheilitis can be very different: allergic, fungal, traumatic and others. Cheilitis may be independent disease, and may be a manifestation of another (for example, depriving).

Symptoms of cheilitis are itching, burning, peeling of the lips, as well as their soreness. Gray or grayish-brown scales appear on the border of the lips, a gray-yellow or brown-yellow crust may appear on the lips. Also, red dots may appear on the mucous membrane of the lips, from which fluid is released.

If you are sure that you have cheilitis, self-medication will not help you. In this case, you do not need to panic, but you need to go to the clinic. A dermatologist will be able to correctly determine the cause of the inflammation and prescribe the correct treatment. And the sooner treatment is given, the better.

Inflammation of the border of the lips - not the most pleasant what can happen to you. However, it is very important to know that everything is fixable, that sponges can be brought back to normal. All that is required of you is the desire to take care of yourself and not be afraid to act. There are girls (you know them, of course) who would rather wait a long, long time for everything to go away on their own, and suffer from pain, but they won’t go to the doctor. And it's great that you're not like that! Good luck!

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Human skin is a mirror image internal state of the whole organism and, quite naturally, any failures in this system immediately affect appearance skin. IN medical practice allergic rashes around the lips are classified as contact cheilitis disease.

The main cause of allergic manifestations, including around the lips, is a negative reaction to exposure to an irritant.

Rashes around the mouth are not uncommon. As a rule, allergic rashes disappear after 3 days, subject to certain conditions. To do this, it is necessary to refrain from eating citrus fruits, chocolate, sour-milk products, which can provoke the development of allergies. However, in the case when the rash around the mouth does not go away for a long period of time (month, week), and the skin is flaky, you should consult an allergist and a dermatologist.

Causes of the disease

Unlike the usual food allergies, manifestations in the oral region are due to a large number of factors that are difficult to list.

• The most common allergic reaction may occur to the use medical preparations, including against the background of the use of hormonal and corticosteroid drugs (gels, ointments, creams) prescribed to relieve skin manifestations;
• in many women, reddening of the lips occurs when in contact with cosmetic and hygiene products. For example: dyes and fragrances are added to many toothpastes and cosmetics, which contribute to the development of allergies;
• of no small importance is food that can sometimes provoke gastrointestinal manifestations, including allergies;

• Allergic redness can cause a metal filling and objects in contact with the lip area ( musical instruments, mouthpiece);
• irritation may appear as a result of stressful situations and dysfunctional disorders of the autonomic nervous system;
• endocrine disorders and hormonal changes in the body;
• the rash may appear as a result of climate change.

In addition, allergies near the mouth can occur to ultraviolet rays, as well as to immune disorders in the body.

Symptoms

1. The first sign of an allergic reaction is swelling around the mouth. A small punctate rash appears on the lips, the skin becomes blistered and reddens.
2. Subsequently, the skin of the lips peels off. The area near the mouth may become covered with microcracks. Very often, allergies resemble herpes rashes in symptoms.

When symptoms of an allergy appear on the lips, it is likely to develop acute attack choking with blue lips, wheezing. In this case, emergency medical care is required.

At the very beginning of the development of allergic manifestations in the oral cavity, the patient feels minimal discomfort when taking spicy or hot food. The redness may suddenly appear and disappear on its own. The gradual increase in symptoms is characterized by persistent redness, against which the skin flakes and a small-nodular rash occurs.

Irritation, as a rule, is located symmetrically. Very often, the rash can merge into a single whole, but, as a rule, does not reach the red border of the lips, leaving a pale pink stripe. clean skin. In addition, the rash may spread to the facial area.

With improper treatment or its complete absence, the affected surface of the skin flakes off and becomes rough. In some cases, pigmentation may appear. At the same time, the skin around the mouth is practically painless.

Therapeutic measures

Treatment of the symptoms that caused the rash, first of all, involves the identification and then the exclusion of the factor that provoked this disease.

• For the most thorough analysis, it is recommended to abandon cosmetics, hygiene products, toothpaste with the addition of fluoride and fragrances. In addition, at the time of the diagnosis, it is necessary to exclude treatment with external agents (gels, ointments, creams);
• after clarification of the allergen, irritation in the oral cavity can be removed with hormonal ointments. Flucinar and Fluorocortic ointment are most often prescribed. It is necessary to use such hormonal drugs very carefully, spreading with a very thin layer, since the drug can get on the mucous membranes, causing their irritation;

• allergies in the mouth and on the lips are effectively neutralized with antihistamines for internal use. The most frequently prescribed medicines latest generation with prolonged action. These include Eden, Claritin, Zodak. Patients prone to acute development of an allergic reaction are advised to always carry antihistamines with them for self-administration of first aid;

• allergic symptoms can be neutralized with medicinal lotions and compresses, which can reduce the feeling of dry lips. In no case should you lick your lips, this will make the skin on your lips rough;
• as a general strengthening therapy, it is recommended to use vitamin complexes, including the presence of riboflavin, vitamin B6, Nicotinic acid and Askorutin. This combination of vitamins is able to provide good nutrition to the skin and the rapid removal of negative allergic manifestations. In especially advanced cases, the doctor may prescribe antibiotics;

• negative manifestations on the skin are effectively removed with the additional use of physiotherapy, including cryomassage, electrolysis and darsonval. These physiotherapy procedures allow you to get rid of telangiectasias and pigmentation around the mouth.

Throughout the course of treatment, the skin must be protected from ultraviolet rays. Prolonged exposure to the sun is absolutely contraindicated.

Among other things, you must comply special diet, excluding those products that are highly allergenic. These include coffee, smoked meats, exotic fruits, chocolate, alcohol, spicy and salty food etc. The diet of an adult patient should contain a large amount of fiber. In addition, it is necessary to consume as much liquid as possible.

It is important to remember that each person should monitor their health and regularly undergo medical examinations. If there is a tendency to allergic manifestations, it is necessary to visit an allergist at least 2 times a year.

If imperfections on the body can be hidden under clothing, then obvious flaws on the face cannot be hidden. The appearance of inflammation on the lips brings a lot of inconvenience and in addition to discomfort develops complexes in a person about his appearance. In order not to encounter such a problem, you need to remember about regular lip care, and if you still failed to avoid cheilitis, learn from the article on how to neutralize inflammation on the lips.

The development of inflammation on the lips is due to the fact that the skin in this area is different from that in other parts of the body. Despite the fact that there is a protective stratum corneum on the red border of the lips, compared to the skin in other places, it is too thin. Lips are always exposed to any adversity - whether it's a harsh climate, or the chemicals that make up cosmetics. Due to the sensitivity of the lips, they require special care.

There are a large number of different types of cheilitis, which are similar to each other in clinical manifestations, but have a different origin and, accordingly, the treatment should also be different.

Meteorological cheilitis

Occurs due to exposure to strong winds, cold air. This type of disease is more common among men, especially those who work outdoors and suffer from general weather sensitivity. In this case, the symptoms are itching, dryness and peeling, as well as the occurrence of erosions and boxes on the lips, and cracks appear in the corners of the mouth.

What to do:

• try to be outside as little as possible in too cold or windy weather;
• protective hygienic lipstick should be used regularly;
• take vitamins of group B and PP;
• mandatory is the use of special wound healing ointments and frequent rinsing of the oral cavity with extracts of oak bark, calendula, chamomile.

Hypovitaminous cheilitis

The appearance of this can be triggered by a lack of B vitamins (especially B6 and B2). It manifests itself in the form of peeling, itching and redness. There are also bleeding cracks in the corners of the mouth. Often accompanied by glossitis (inflammation of the tongue).

What to do:

• you should follow a diet that excludes the use of certain dishes, namely: spicy, sour or too hot;
• eat as many vegetables and fruits (non-acidic) as possible, as well as eat more foods that contain iron and riboflavin;
• take complex vitamins (especially A, E and group B);
• regularly use protective hygienic lipstick.

actinic cheilitis

It often appears in the warm season (spring and summer) due to the increased sensitivity of the red border of the lips to ultraviolet radiation.

In this case, the red border of the lower lip swells, its color becomes bright red and white scales appear on the surface. Perhaps the appearance of white bubbles, after opening which forms a crust. There is itching, burning, sometimes soreness of the lips.

What to do:

• reduce exposure to solar radiation;
• use sunscreen;
• apply ointments with hormones;
• take vitamins;
• rinse your mouth with herbs.

Fungal cheilitis

Caused by a fungal infection Candida albicans. Appears due to neglect of oral hygiene, due to hypovitaminosis B2, or after prolonged use of antibiotics or glucocorticoids. It can also occur as a result of irrational nutrition, when a person consumes large quantities of carbohydrate foods, but almost does not consume protein.

The lips swell and turn red, the border becomes dry and flaky. In the corners of the mouth, weeping areas with erosions appear, which are covered with a white coating that can be easily removed.

What to do:

• get tested for a fungal infection;
• if the presence of such is confirmed, the doctor will prescribe antifungal drugs, which should be taken at the same time as salicylic acid and vitamin B2;
• problem areas require careful treatment with an oil solution.

Allergic cheilitis

It occurs as a result of increased sensitivity of the border of the lips to chemicals (dyes) that are part of toothpastes, dentures or lipsticks.

It is characterized by the appearance of violent puffiness. The red border of the lips becomes inflamed and reddens, and soon abundant scales and crusts appear on it. Possible formation of painful cracks.

What to do:

• use vitamins and antihistamines;
• externally apply lotions of a 2% solution of boric acid, and anti-inflammatory creams containing glucocorticoids, sulfur and salicylic acid;
• exclude substances that irritate the mucous membrane of the mouth and the red border of the lips;
• eating should end with rinsing the mouth with chamomile infusion;

Exfoliative cheilitis

Appears in connection with depression, anxiety or vegetative neurosis.

Only the middle part of the red border of the lips is affected, while the edges remain normal. There is itching, peeling, swelling develops, the lips become covered with a crust. It is more common among women, especially those who suffer from vegetative neurosis. It mainly worries people who often lick or bite their lower lip.

What to do:

• use ointments that have anti-inflammatory and antibacterial effects;
• take vitamins and immunomodulators, as well as sedatives and tranquilizers;
• in some cases, psychotherapy is required.

The skin of the lips requires special care, the only way it can be protected from the development of such an unpleasant consequence as inflammation.