cheilitis
Introduction
Introduction to cheilitis Cheilitis is a mucosal disease characterized by dry lips, chapped and desquamation, including dry desquamation cheilitis, allergic cheilitis, benign lymphoproliferative cheilitis, granulomatous cheilitis, glandular lip Various types such as inflammation, fungal cheilitis, and photosensitive cheilitis. According to the course of the disease, there may be acute and chronic cheilitis. basic knowledge The proportion of illness: 13% Susceptible people: no specific people Mode of infection: non-infectious Complications: lip cancer
Cause
Cause of cheilitis
The lips are red lips, located at the junction of the human skin and mucous membranes. Due to the close proximity to the body surface, the capillaries are extremely rich. Because the surface structure of the lip red is very thin, the foreign body is easy to "invade", and the immune cells and antibodies that run inside the blood vessel will "stand up" and "decisive battle" with the intruder. Therefore, the reason for the lip-redness of the antigen-antibody 'blood-blood fight' is often unclear. It may be related to acute inflammation, and may also be related to sun exposure, tobacco and alcohol, and cosmetic stimulation; Causes fungal cheilitis, deep cracks can extend to the skin, and may bleed and form blood stasis, the fissure is difficult to heal.
Prevention
Cheilitis prevention
1. Correct bad habits: Less smoking, less alcohol, don't use antibiotics at random, don't use lip balm that is inferior or not suitable for you, don't blindly do "lip lips". Avoid various factors that may cause an allergic reaction. Change the habit of biting your lip and biting your tongue to avoid mucosal trauma.
2. Eat more fresh fruits and vegetables: such as protein-rich foods, eat less sour, hemp, spicy, simmering, hot and fried foods, not to eat those that are marinated with industrial salt and fried with "foot oil" Inferior food fried with lime.
Complication
Cheilitis complications Complications, lip cancer
Chronic cheilitis caused by chronic irritation such as lip licking, lip biting, improper use of lipstick or hot smoking, may also turn into oral cancer. Experts pointed out that in the autumn dry, the public must not look down on the dryness, cleft palate and desquamation of the lips, because these itchiness, congestion, swelling and smashing "small hair disease", is not allowed to be the initial signs of cancer.
Symptom
Symptoms of lipitis Common symptoms Lip red dry lips swollen lips cleft lip corners desquamation
Both upper and lower lips can occur, but the upper lip is good. There are two types of performance:
1. Dry desquamation: the red part of the lips is dry, desquamation and chapping. There is exudate or bleeding at the crack. Some patients may be asymptomatic, some may feel dry lips, burning or itching discomfort, some bite the lips to relieve itching, or avulsion scales, causing the disease to worsen. Exudation of scarring: swelling of the lips, erosion, inflammatory exudate and bleeding, the formation of pus or blood stasis, avulsed suede leaves the erosion surface. Due to pain and scarring, lip movements are inconvenient. The disease can be light and heavy, repeated attacks, and continue to heal.
2, the performance of the lip red part of the dry, desquamation, chapped. Severe performance is swelling of the lips, erosion, inflammatory exudate, blood stasis or purulent formation, pain, and burning sensation.
Examine
Cheilitis check
Inspection Method:
Dry desquamation cheilitis
Pathological examination: basal cell vacuolar degeneration, daylight degeneration.
2. Eczema erosive cheilitis
1 actinic cheilitis
Pathological examination: acute damage to fine intracellular and intercellular edema, blister formation.
2 benign lymphoproliferative cheilitis
Pathological examination: submucosal lymphoid follicular hyperplasia.
3. adenoid cheilitis
Pathological examination: non-specific glandular hyperplasia, enlargement, inflammatory cell infiltration.
4. Granulomatous cheilitis
Pathological examination: granulomatous nodules, with Langerhans cells.
Diagnosis
Diagnosis of cheilitis
Diagnose based on
1. The upper and lower lips can be affected at the same time, but the following lips are more common.
2. Dry desquamation cheilitis: The red part of the lip is mainly dry and desquamate, and there may be longitudinal fissures. In severe cases, the fissures extend to the skin. The shallow groove is like a crack, the deep groove has hemorrhage, and there is blood stasis after hemorrhage. The longitudinal fissure can be unhealed for a long time.
3. Eczema erosive cheilitis: lip red erosive, local yellowish exudate. It is painful and itchy, so that it rubs hard and the pain is aggravated. Benign lymphoproliferative cheilitis is also dominated by erosion, ulcers, conscious dryness, pain, swelling, varying degrees of itching, biopsy can be diagnosed.
4. Glandular cheilitis: the lips are swollen and the red part of the lips is smoother. The lip mucosa has a rough feeling when palpated, such as scattered small nodules, and the surface of the labial gland has a transparent viscous fluid overflow. Only a sense of swelling.
5. Granulomatous cheilitis: swelling of the upper and lower lips, more common in the upper lip. Generally softer, there are also those who are hard and have mild pain. It is easy to relapse, and it is not easy to return to normal after remission. It can also affect the skin, cheeks, and underarm area of the lips.
