Lips are the most significant noticeable body organ of the human. Be that as it may, there are a few lips conditions (kinds of cheilitis) we face everywhere throughout the years. These lip conditions can reason for Flaky dead cells, irritating rashes, broke lip skins, Blister, and aggravation upper and lower vermilion outskirt, inside and outside vermilion, procheilon or corners of the lips. The most widely recognized reason for this aggravation could be cheilitis. Along these lines, in the event that you experience the ill effects of every one of these issues, at that point, it could be a therapeutic issue.
what is cheilitis?
The term cheilitis indicates inflammation of the lip and includes many types, i.e. angular, contact, exfoliative, actinic, glandular, granulomatous, plasma cell cheilitis, simplex, etc. In practice, it is difficult to define readily the precise type of cheilitis, thus proper diagnostic procedures are necessary to determine the exact disease based on its characteristics. For example, angular cheilitis can occur spontaneously or may be related to several precipitating factors (e.g., systemic immune suppression, local irritation and moisture, fungal/bacterial infection). Contact cheilitis can be related to the effects of irritants (climatic, mechanical, caustic agents) or allergens (allergic contact cheilitis). Some types of cheilitis last longer and are persistent, such as chronic actinic cheilitis, granulomatous cheilitis and plasma cell cheilitis. Furthermore, cheilitis can also be seen in various skin or systemic diseases such as lupus erythematosus, lichen planus, atopic dermatitis, etc.
What are the Types of Cheilitis?
There are several types of cheilitis, which include the following:
–Eczematous Cheilitis : The most common type of cheilitis is eczematous cheilitis, which may be associated with atopic disease (eczema, hay fever, and asthma) or occur as a result of an allergen or irritant exposure.
Atopic cheilitis is commonly seen in people with eczema but is often indistinguishable from allergic or irritant contonsible for cold sores and fever blisters around the mouth.
HSV-2: primarily causes genital herpes, and is generally responsible for genital herpes outbreaks.
–Angular cheilitis : affects the corners of the mouth. It is commonly caused by excess drooling of saliva as seen in children and elderly people and is characterized by fissures and cracks at the corners of the mouth, blistering, redness and bleeding.
–Granulomatous cheilitis : Granulomatous cheilitis presents as swollen lips. It occurs due to an underlying disease condition like Crohn’s disease, sarcoidosis, allergy or rarely infection or cancer. . This kind of cracked lips presents with other associated symptoms such as headache, fever, and mild lymph node enlargement.
–Crohn skin disease : Crohn disease is an inflammatory bowel disease that involves inflammation of the small intestine. This can cause pain, fever, constipation, diarrhoea and weight loss. Extraintestinal features are common in Crohn disease and include arthritis, skin problems, inflammation in the eyes or mouth.
–Actinic cheilitis : Actinic cheilitis is also called solar cheilitis because it is caused by long-term sun exposure. It is a pre-cancerous condition (squamous cell carcinoma of the lip) that most commonly occurs in light-skinned individuals, and in people who live in hot, dry climates and/or work outdoors, like construction workers. Actinic cheilitis is more common on the lower lip than the upper lip.
–Exfoliative cheilitis : Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips.
Factitial cheilitis can present as exfoliative cheilitis when it is due to attention-seeking or factitial behaviour or an obsessive-compulsive tendency to pick or chap the lips (exfoliative).
–Glandular cheilitis : Cheilitis glandularis is characterized by progressive enlargement of the lower lip mucosa and the vermilion border. It is associated with severe environmental conditions like sun exposure, smoking and repeated lip biting. These affect the delicate labial mucosa of the lower lip leading to swelling and tenderness.
The most common “lip” symptoms associated with cheilitis include:
-Scaling or fissuring
-Cracking or peeling
-Itching and burning sensation
-Crusting at the corners of the mouth (angular cheilitis)
-Brown-black discoloration of the lips (seen with certain types of irritant contact cheilitis)
Rarer symptoms may include the presence of a thick keratin scale on the lips (seen with exfoliative cheilitis). A thickening of the lower lip along with tiny orifices (holes) where saliva can be expressed is seen with glandular cheilitis.
what is the cause of cheilitis?
The lip epithelium is less pigmented and also thinner than the outer layer of the facial skin next to it. This makes it far more vulnerable to damage from the ultraviolet rays of the sun.
Excessive or chronic exposure to shortwave UV-B rays, a type of ultraviolet radiation found in sunlight, can damage lip cell DNA and cause abnormalities.
Actinic cheilitis occurs when these abnormalities cause dry, scaly patches to form on the border of the lip.
Listed below are some of the known causes of actinic cheilitis and risk factors for the condition:
–Chronic sun exposure: The more often the lips are exposed to sunlight, the more likely damage is to occur.
–Severe sunburn: Sunburn further damages skin cells and causes them to divide and regenerate, increasing the chances of cellular mutations.
–Sex: Three times more men than women develop actinic cheilitis.
–Fair skin: A majority of those with actinic cheilitis are white or fair-skinned. Rates are very high in people with albinism or those with skin pigment disorders.
–Tropical, subtropical, or desert environments: Regions near the equator have increased ultraviolet exposure. Tropical and desert regions also typically have more sunny, warm days that encourage being outdoors.
–Jobs that involve being outdoors: Jobs or hobbies that require being outdoors in the sun for more time increase the risk of sun damage. Lifeguards, construction workers, hikers, marathon runners, farmers, and sailors may have a higher chance of developing actinic cheilitis.
–Age: Usually the result of chronic or long-term sun damage, the condition mostly impacts adults.
–Smoking: Smoking or chewing tobacco can weaken the lip epithelium and make it more vulnerable to sun damage.
–Actinic prurigo: This rare, itchy photosensitivity condition causes the skin to be more sensitive to sun damage.
–Excessive alcohol use.
–Oncogenic human papillomavirus, the virus that causes warts.
–Immune disorders or immunosuppressing medications: Medications that weaken and suppress the immune system usually increase the risk of sun damage.
–Everted lower lip: When the lip is turned more outward instead of inward.
How Long Does Cheilitis Take to Healing?
As a matter of fact, the mending period relies upon the assurance of fundamental causes. From that point onward, mending doesn’t take longer than a couple of days.
When to see a doctor?
Anyone with symptoms of actinic cheilitis should talk with a doctor to rule out additional complications. A doctor should examine the lips soon after symptoms begin to establish a baseline and monitor the progression.
Actinic cheilitis is usually relatively harmless on its own, but some symptoms are considered warning signs of skin cancer.