{"id":8119,"date":"2020-04-27T06:09:22","date_gmt":"2020-04-27T09:09:22","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/queilitis-exfoliativa\/"},"modified":"2020-04-27T14:40:23","modified_gmt":"2020-04-27T17:40:23","slug":"cheilitis-exfoliative","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-exfoliativa\/","title":{"rendered":"Exfoliative 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-exfoliativa\/#%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-exfoliativa\/#%C2%BFQue-es-la-queilitis-exfoliativa\" >What is exfoliative cheilitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-exfoliativa\/#%C2%BFQuien-contrae-la-queilitis-exfoliativa-y-por-que\" >Who gets exfoliative cheilitis and why?<\/a><\/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-exfoliativa\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-queilitis-exfoliativa\" >What are the clinical features of exfoliative 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-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-exfoliativa\/#Queilitis-exfoliativa\" >Exfoliative cheilitis<\/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-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/queilitis-exfoliativa\/#%C2%BFComo-se-diagnostica-la-queilitis-exfoliativa\" >How is exfoliative cheilitis diagnosed?<\/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-exfoliativa\/#%C2%BFCual-es-el-tratamiento-de-la-queilitis-exfoliativa\" >What is the treatment for exfoliative 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 means inflamed lips. There are several causes<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-queilitis-exfoliativa\"><\/span>What is exfoliative cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Exfoliative cheilitis is a rare reactive condition that presents as continuous peeling of the lips.<\/p>\n<p>Factual cheilitis can present as exfoliative cheilitis when it is due to factual or attention seeking behavior or a <span class=\"term\" data-term-id=\"1730\">haunting<\/span>&#8211;<span class=\"term\" data-term-id=\"1723\">compulsive<\/span> tendency to pinch or chap the lips (exfoliative).<\/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%BFQuien-contrae-la-queilitis-exfoliativa-y-por-que\"><\/span>Who gets exfoliative cheilitis and why?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Exfoliative cheilitis is rarely reported, but it appears to affect both sexes equally and primarily affects young adults under 30 years of age.<\/p>\n<p>Some patients diagnosed with exfoliative cheilitis actually have a <span class=\"term\" data-term-id=\"324\">located<\/span> form of psoriasis<\/p>\n<p>Factual cheilitis can be triggered by a stressful event that leads to an element of self-destructive behavior.<\/p>\n<p>Whatever the underlying cause, exfoliative cheilitis can get worse if:<\/p>\n<ul>\n<li>Mouth breathing<\/li>\n<li>Licking lips<\/li>\n<li>Lick lips<\/li>\n<li>Lip<\/li>\n<li>Bite the lip<\/li>\n<li>\n<span class=\"term\" data-term-id=\"937\">Bacterial<\/span> (Staphylococcus aureus) or yeast <span class=\"term\" data-term-id=\"145\">infection<\/span> (Candida albicans)<\/li>\n<\/ul>\n<p>Poor oral hygiene has also been reported in association with exfoliative cheilitis and is considered a possible predisposing trigger. One form of the condition is associated with <span class=\"term\" data-term-id=\"127\">HIV<\/span> infection.<\/p>\n<p>Whatever the cause, excessive <span class=\"term\" data-term-id=\"155\">curb<\/span> the formation results in abnormal flaking.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-queilitis-exfoliativa\"><\/span>What are the clinical features of exfoliative cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Exfoliative cheilitis presents with continuous peeling of the vermilion (outer) part of the lips. It can affect only one lip, usually the lower one. The lip may appear normal or red before the formation of the thickened surface layer. The exfoliation appears to be cyclical and proceeds at different speeds at different sites, so there is always a part of the exfoliation of the lips at any one time. There may be associated bleeding that results in the formation of a <span class=\"term\" data-term-id=\"121\">hemorrhagic<\/span> <span class=\"term\" data-term-id=\"45\">Cortex<\/span>. When both lips are involved, the lower lip is generally more affected than the upper lip.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Queilitis-exfoliativa\"><\/span>Exfoliative cheilitis<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='exfoliative-cheilitis1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6853410-9128401' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/exfoliative-cheilitis1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6853410.jpg'>\n<\/div>\n<p class=\"p-small\">Exfoliative cheilitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='exfoliative-cheilitis2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-7889614-8606741' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/exfoliative-cheilitis2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-7889614.jpg'>\n<\/div>\n<p class=\"p-small\">Exfoliative cheilitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>The condition can be painful and cause difficulty eating and speaking. Other reported symptoms include sensations of:<\/p>\n<ul>\n<li>Tingle<\/li>\n<li>Chop<\/li>\n<li>Dryness<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"1278\">Ulceration<\/span> or <span class=\"term\" data-term-id=\"1772\">fissure<\/span> it can happen.<\/p>\n<p>Depression and personality disorders have been commonly reported in association with factitious exfoliative cheilitis. However, cheilitis itself can appear so unsightly that the patient avoids social situations, which contributes to altered mood.<\/p>\n<p>The typical course of exfoliative cheilitis is <span class=\"term\" data-term-id=\"319\">chronic<\/span> over several years It can fluctuate, getting worse with more stress. Spontaneous improvement has been reported, but often recurs.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-queilitis-exfoliativa\"><\/span>How is exfoliative cheilitis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Because exfoliative cheilitis can resemble other conditions, tests are required to exclude these other conditions and secondary infection.<\/p>\n<ul>\n<li>The swabs should evaluate for candida and Staphylococcus aureus.<\/li>\n<li>A <span class=\"term\" data-term-id=\"24\">biopsy<\/span> must be done but <span class=\"term\" data-term-id=\"129\">histopathology<\/span> can be nonspecific<\/li>\n<\/ul>\n<p>Exfoliative cheilitis is a diagnosis of exclusion and there is no specific diagnostic test for it. A care <span class=\"term\" data-term-id=\"1771\">psychiatric<\/span> Evaluation may be especially helpful as treatment for an associated mood or anxiety disorder has also been reported to improve factitious exfoliative 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%BFCual-es-el-tratamiento-de-la-queilitis-exfoliativa\"><\/span>What is the treatment for exfoliative cheilitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Infection, if present, should be treated topically or systemically.<\/p>\n<p>Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is usually resistant to treatment. Unsuccessful use of <span class=\"term\" data-term-id=\"1572\">keratolytic<\/span> lip balms, sunscreen, antifungal creams, <span class=\"term\" data-term-id=\"1330\">current<\/span> steroids <span class=\"term\" data-term-id=\"380\">systemic<\/span> steroids, antibiotics, vitamin D <span class=\"term\" data-term-id=\"1503\">analogs<\/span> (calcipotriol) and <span class=\"term\" data-term-id=\"1145\">cryotherapy<\/span> have been described.There has been a report on the successful use of topical tacrolimus and Calendula officinalis (calendula) <span class=\"term\" data-term-id=\"1122\">ointment<\/span> 10%<\/p>\n<p>Treatment of an associated mood or anxiety disorder has been reported to improve factual cheilitis. Obsessive compulsive disorders respond better to selective serotonin reuptake inhibitors.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la queilitis? Queilitis significa labios inflamados. Hay varias causas \u00bfQu\u00e9 es la queilitis exfoliativa? La queilitis exfoliativa es una condici\u00f3n reactiva rara que se presenta como un pelado&#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-8119","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8119","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=8119"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8119\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8119"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8119"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}