{"id":6578,"date":"2020-04-22T07:36:01","date_gmt":"2020-04-22T10:36:01","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/"},"modified":"2020-04-27T17:17:44","modified_gmt":"2020-04-27T20:17:44","slug":"contact-cheilitis-and-other-reactions-involving-the-lips-of-musicians","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/","title":{"rendered":"Contact cheilitis and other reactions involving the lips of musicians."},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#1-Labios-rojos-secos-y-callosidades\" >1. Dry red lips and calluses<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#2-labio-trauma\" >2. lip trauma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#3-alergia-al-metal\" >3. metal allergy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#4-Cana-alergia-a-la-cana\" >4. Cane allergy to cane<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#5-alergia-a-la-madera-exotica\" >5. allergy to exotic wood<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#6-Alergia-al-tiuram\" >6. Thiuram allergy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#7-La-barbilla-del-flautista\" >7. The Pied Piper&#039;s Chin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#8-Queilitis-del-clarinetista\" >8. Clarinetist&#039;s cheilitis.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-de-contacto-y-otras-reacciones-que-involucran-los-labios-de-los-musicos\/#9-dermografismo-negro\" >9. black dermographism<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>Cheilitis means <span class=\"term\" data-term-id=\"148\">inflammation<\/span> of the lips swelling and other reactions of the lips and <span class=\"term\" data-term-id=\"1351\">adjacent<\/span> The skin may be due to contact with the mouthpieces of musical instruments, especially brass and brass instruments.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"1-Labios-rojos-secos-y-callosidades\"><\/span>1. Dry red lips and calluses<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The sound on brass instruments is created by the vibration of the lips inside a cup-shaped mouthpiece. Friction between the lips and the mouthpiece can produce painful, red and dry lips and is not related to <span class=\"term\" data-term-id=\"1136\">allergy<\/span>. A callus may develop on the upper lip. Clarinetists and oboists can also develop a callus on the <span class=\"term\" data-term-id=\"1543\">middle line<\/span> of the upper lip<\/p>\n<h3><span class=\"ez-toc-section\" id=\"2-labio-trauma\"><\/span>2. lip <span class=\"term\" data-term-id=\"1365\">trauma<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span class=\"term\" data-term-id=\"130\">horn<\/span> players can develop weight loss (<span class=\"term\" data-term-id=\"18\">atrophy<\/span>) of the central upper lip due to the pressure of the mouthpiece against the lip that blocks the blood supply.<\/p>\n<p>Wind and brass players can have <span class=\"term\" data-term-id=\"1183\">Soft fabric<\/span> trauma to the lips from the pressure of your instrument that pushes the lips against the sharp edges of the teeth and restorations. Such problematic edges can be smoothed or rounded by the dentist, or lip balms can be used.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"3-alergia-al-metal\"><\/span>3. metal allergy<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Allergic contact <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> nickel and chromate have been reported as flute players, clarinet players, trumpeters, trumpeters and due to a nickel plated harmonica. In most cases, this presents as a cheilitis, except in flute players where a <span class=\"term\" data-term-id=\"491\">eczema<\/span>Similar to the reaction it affects the chin just below the lower lip. Saliva and sweat between the skin \/ lip and the mouthpiece contribute to the release of metal from the mouthpiece and the development of allergy.<\/p>\n<p>In a case report, the trumpeter&#039;s examination revealed <span class=\"term\" data-term-id=\"384\">climbing<\/span> and <span class=\"term\" data-term-id=\"966\">crust<\/span> of the central third of both lips. The trumpeter was able to replace his nickel mouthpiece with one made of gold, resulting in an improvement.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"4-Cana-alergia-a-la-cana\"><\/span>4. Cane allergy to cane<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Reed allergy is reported in reed instrument players, mainly saxophonists and clarinet players. Immediate (type I) and delayed (type IV) reactions have been reported. Cheilitis affects the central lower lip, which appears as redness and \/ or peeling. Inflammation of the lip with associated itching of the tongue within a few minutes of exposure has been reported in immediate reactions.<\/p>\n<p>Only the lower lip is involved in reed allergy due to a single reed woodwind instrument such as the clarinet or saxophone, as the reed is located on the underside of the mouthpiece.<\/p>\n<p>The cane is made from Arundo donax, which belongs to the Gramineae family, Poaceae subfamily. <span class=\"term\" data-term-id=\"224\">Patch<\/span> Tests and scratch \/ prick tests can be performed using fine shavings from a reed shank. In some cases, the reaction of the patch test (for Type IV) or the puncture test (for Type I) has only been positive with a new rod and in others only with a used one.<\/p>\n<p>It has been suggested that the reaction is due to cross reactivity with <span class=\"term\" data-term-id=\"409\">Allergens<\/span> causing grass pollen <span class=\"term\" data-term-id=\"1137\">allergies<\/span>.<\/p>\n<p>Replacing the reed with a plastic one has resulted in rapid improvement in some cases. However, other musicians have not been satisfied with the resulting sound quality.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"5-alergia-a-la-madera-exotica\"><\/span>5. allergy to exotic wood<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Allergic contact dermatitis to exotic woods used in the manufacture of wooden musical instruments has been reported. Allergic cheilitis has been observed in tape recorder players.<\/p>\n<p>A recent case report described a recording player that filed a <span class=\"term\" data-term-id=\"537\">erosive<\/span> cheilitis of the central third of the lower lip. The sawdust patch test (10% in Vaseline) of your wood engravers was performed with the removal of the patches after one day to minimize the risk of a <span class=\"term\" data-term-id=\"1168\">irritating<\/span> reaction. It had positive reactions to African blackwood (Dalbergia melanoxylon) and rosewood, the latter being a cross reaction. Puncture tests with sawdust (1% in water) were negative. The allergens in black wood and rosewood from Africa are quinones, (S) -49-methoxdalbergione and (S) -49-hydroxy-4-methoxdalbergione.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"6-Alergia-al-tiuram\"><\/span>6. Thiuram allergy<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A case has been reported of a trumpeter who became sensitized to tiuram after a temporary black henna tattoo and then reacted to the mouthpieces of his brass instruments stored in rubber-lined foam boxes. In the patch test, he also reacted to the rubber foam in his instrument case, which contained thiuram (a rubber accelerator). The problem was resolved by storing the nozzles separately.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"7-La-barbilla-del-flautista\"><\/span>7. The Pied Piper&#039;s Chin<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The flutist&#039;s chin is described as acne <span class=\"term\" data-term-id=\"255\">eruption<\/span> with more <span class=\"term\" data-term-id=\"1521\">pigmentation<\/span> on the chin where the flute rests. It is probably due to the combination of saliva, condensation of the breath and pressure of the flute against the skin.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"8-Queilitis-del-clarinetista\"><\/span>8. Clarinetist&#039;s cheilitis.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Clarinetist cheilitis is usually a form of irritating contact dermatitis that affects half of the lower lip that extends from the vermilion margin to the chin. Probably due to the combination of moisture (saliva, sweat), pressure and friction.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"9-dermografismo-negro\"><\/span>9. black dermographism<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Black discoloration of the lower lip \/ chin has been reported in a flute player due to an interaction between the flute silver and a sulfur \/ zinc containing <span class=\"term\" data-term-id=\"1120\">lotion<\/span> being used to treat <span class=\"term\" data-term-id=\"227\">perioral<\/span> acne.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Queilitis significa inflamaci\u00f3n de los labios Inflamaci\u00f3n y otras reacciones de los labios y adyacente La piel puede deberse al contacto con las boquillas de los instrumentos musicales, especialmente los&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6578","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6578","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6578"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6578\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6578"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6578"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6578"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}