{"id":6854,"date":"2020-04-23T11:22:40","date_gmt":"2020-04-23T14:22:40","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/queilitis-alergica-de-contacto-2\/"},"modified":"2020-04-27T16:49:46","modified_gmt":"2020-04-27T19:49:46","slug":"allergic-contact-cheilitis-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/","title":{"rendered":"Allergic contact cheilitis"},"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-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#%C2%BFQue-es-la-queilitis\" >What is cheilitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#%C2%BFQue-es-la-queilitis-de-contacto-alergica\" >What is allergic contact cheilitis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#Queilitis-de-contacto-alergica-al-tinte-capilar\" >Allergic contact cheilitis to hair dye<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#%C2%BFQuien-contrae-la-queilitis-de-contacto-alergica-y-por-que\" >Who gets allergic contact cheilitis and why?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-queilitis-de-contacto-alergica\" >What are the clinical features of allergic contact cheilitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#Cual-es-el-diagnostico-diferencial-de-la-queilitis-de-contacto-alergica\" >What is the differential diagnosis of allergic contact cheilitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#%C2%BFComo-se-diagnostica-la-queilitis-de-contacto-alergica\" >How is allergic contact cheilitis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-alergica-de-contacto-2\/#Tratamiento-de-la-queilitis-alergica-de-contacto\" >Treatment of allergic contact cheilitis.<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-queilitis\"><\/span>What is cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cheilitis is the name given to inflamed lips.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-queilitis-de-contacto-alergica\"><\/span>What is allergic contact cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Allergic contact cheilitis is allergic contact. <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>  affecting the lip(s). It is due to a type IV <span class=\"term\" data-term-id=\"943\">hypersensitivity<\/span> reaction after contact with a <span class=\"term\" data-term-id=\"408\">allergen<\/span> and usually appears as a  <span class=\"term\" data-term-id=\"491\">eczema<\/span>-I like it <span class=\"term\" data-term-id=\"148\">inflammation<\/span> of the external lip or vermilion margin.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Queilitis-de-contacto-alergica-al-tinte-capilar\"><\/span>Allergic contact cheilitis to hair dye<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lips-ppd__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4353585-7909309' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lips-ppd__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4353585.jpg'>\n<\/div>\n<p class=\"p-small\">lip dermatitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-la-queilitis-de-contacto-alergica-y-por-que\"><\/span>Who gets allergic contact cheilitis and why?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Allergic contact cheilitis is a common cause of inflammation of the lips and is more common than contact. <span class=\"term\" data-term-id=\"272\">stomatitis<\/span>, despite considerable overlap in allergen sources. About a quarter of the cases of <span class=\"term\" data-term-id=\"319\">chronic<\/span>  <span class=\"term\" data-term-id=\"492\">eczematous<\/span> Cheilitis is due to allergic contact. The rest is due to constitutional causes and <span class=\"term\" data-term-id=\"1168\">irritating<\/span> factors<\/p>\n<p>Allergic contact cheilitis is more common in women than in men. It can affect all age groups, but adults are more commonly affected than children. However the <span class=\"term\" data-term-id=\"409\">Allergens<\/span> involved vary in different age groups. These differences reflect the usage patterns of different age groups and genders.<\/p>\n<ul>\n<li>Lip cosmetics are the most common source of allergens in women and toothpastes in men.<\/li>\n<li>Medications are a major source of allergic contact cheilitis reactions in the elderly.<\/li>\n<li>Dental materials and oral hygiene products cause cheilitis in all age groups.<\/li>\n<li>Food reactions mainly affect children.<\/li>\n<li>Patients often also  <span class=\"term\" data-term-id=\"922\">atopic<\/span>.<\/li>\n<\/ul>\n<p>The main sources of allergens that cause contact cheilitis include:<\/p>\n<ul>\n<li>\n<p> Lipsticks and other lip cosmetics, including sunscreens\n<\/li>\n<li>Toothpaste and other dental care products (mouthwash, denture cleaner, dental floss, toothpicks)<\/li>\n<li>Metals: dental restorations, orthodontic devices, musical instruments, metal lip liners, regular suction on metal objects.<\/li>\n<li>Food<\/li>\n<li>Medicines<\/li>\n<li>Nail polish<\/li>\n<li>\n<p> Rubber\/latex gloves: rubber dams used during dental treatment, transfer of allergens from worn gloves to hands<\/li>\n<\/ul>\n<p>Common allergen groups that cause contact cheilitis include:<\/p>\n<ul>\n<li>metals like nickel\n<\/li>\n<li>\n<p> Fragrances \/ Scents<\/li>\n<li>  Preservatives<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-queilitis-de-contacto-alergica\"><\/span>What are the clinical features of allergic contact cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Allergic contact cheilitis usually presents as eczema-like changes on the vermilion margin or the skin around the mouth. One or both lips may be red with dryness, <span class=\"term\" data-term-id=\"384\">climbing<\/span> and cracks. The changes can be quite <span class=\"term\" data-term-id=\"324\">located<\/span> or affect the entire lip. You can also see the involvement of the corners of the mouth (angular cheilitis). The pattern of the reaction may give some clue as to the cause; for instance <span class=\"term\" data-term-id=\"1136\">allergy<\/span> to a musical instrument changes will develop only in that part of the lip in contact with the instrument. Allergic contact cheilitis rarely affects the interior <span class=\"term\" data-term-id=\"1018\">mucous membrane<\/span> lip appearance.<\/p>\n<p>The patient may report associated itching, burning, or pain of the lips.<\/p>\n<p> <span class=\"term\" data-term-id=\"1520\">Pigmented<\/span> allergic contact cheilitis is a rare variant and presents with <span class=\"term\" data-term-id=\"1521\">pigmentation<\/span> of the lip that persists after resolution of the eczema.<\/p>\n<p>The clinical examination should include, in addition to the lips, the inside of the mouth and the skin in general. Atopic dermatitis is commonly associated with contact cheilitis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cual-es-el-diagnostico-diferencial-de-la-queilitis-de-contacto-alergica\"><\/span>Which is the <span class=\"term\" data-term-id=\"813\">differential diagnosis<\/span> of allergic contact cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Contact <span class=\"term\" data-term-id=\"1646\">urticaria<\/span> of the lip due to a low dose of a frequently used allergen can present as a cheilitis, like a flavoring in a toothpaste. Food is a major cause of contact urticaria of the lips. <\/p>\n<p>Oral allergy <span class=\"term\" data-term-id=\"350\">syndrome<\/span> should also be considered in people with allergies to pollen; Onset and recovery are faster than with allergic contact cheilitis.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-queilitis-de-contacto-alergica\"><\/span>How is allergic contact cheilitis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> <span class=\"term\" data-term-id=\"224\">Patch<\/span> The test is the key to the diagnosis of contact cheilitis. The tests must include the <span class=\"term\" data-term-id=\"1747\">base<\/span> patch test allergen series, as well as cosmetic and toothpaste series, and others suggested by history. It is very important to test the patient&#039;s own products and musical instruments as well, if possible. Cosmetics are often applied \u201cas is\u201d, but sawdust from woodworking tools should be applied diluted with 10% in Vaseline. A significant number of patients react only to their own products. The relevance of positive results should be evaluated, based on a careful clinical history and clinical examination. Multiple positive reactions are common.<\/p>\n<p>Repeated Open Application Testing (ROAT) or start-restart testing may be necessary for a patient&#039;s own products due to irritation under <span class=\"term\" data-term-id=\"969\">occlusion<\/span> in patch tests, as with toothpastes.<\/p>\n<p>  Photopatch testing may also be helpful when investigating cheilitis when routine patch testing is negative.<\/p>\n<p>In case of suspected contact urticaria of the lip, a prick\/scratch test is required.<\/p>\n<p>It is common for patients with allergic contact dermatitis to have a second diagnosis, such as atopic cheilitis or irritant contact cheilitis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamiento-de-la-queilitis-alergica-de-contacto\"><\/span>Treatment of allergic contact cheilitis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Avoiding the allergen at all its possible sources is the treatment. The reaction usually sets in quickly.<\/p>\n<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la queilitis? Queilitis es el nombre dado a los labios inflamados. \u00bfQu\u00e9 es la queilitis de contacto al\u00e9rgica? La queilitis de contacto al\u00e9rgica es el contacto al\u00e9rgico. dermatitis&#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-6854","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6854","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=6854"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6854\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6854"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6854"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}