It usually involves the lip vermilion and the vermilion border, but the surrounding skin and the oral mucosa may also be affected. Common symptoms include erythema, dryness, scaling, fissuring, edema, itching, and burning.
Cheilitis may be caused by a multiplicity of endogenous or exogenous factors, the most common of which are atopic dermatitis, contact irritants or allergens, chronic sun exposure, and infection.
Secondary involvement of the lips can occur in many cutaneous and systemic disorders, such as lichen planus, lupus erythematosus, autoimmune bullous diseases, Crohn disease, sarcoidosis, and nutritional deficiencies.
This topic will review the clinical manifestation, diagnosis, and treatment of primary lip diseases with ozonated oil.
Eczematous cheilitis may be due to endogenous factors (eg, atopic dermatitis) or may be caused by exogenous factors, such as contact irritants or allergens. Multiple contributing factors may coexist in some patients.
Irritant contact cheilitis
Other causes include environmental factors (eg, cold, low humidity, wind, occupational exposure to irritants), irritants in lip cosmetics or oral hygiene products, or foods.
Allergic contact cheilitis
affected than men, likely due to a heavier exposure to allergens from lipsticks, lip balms, sunscreens, makeup products, or nail polish. Other causes of allergic contact cheilitis include oral hygiene products, such as toothpastes and mouthwash, and certain foods, such as mango, citrus fruit, and cinnamon.
Although fragrances, Myroxylon pereirae, and nickel are the most frequent cosmetic sensitizers identified by patch testing in patients with lip dermatitis, many other ingredients that are unique to lipsticks can also cause allergic cheilitis. Examples are ricinoleic acid, also known as castor oil,
found in most lipsticks for its ability to dissolve pigments; resins (eg, colophony, shellac); drug and cosmetic dyes; preservatives; ozonated olive oil; propolis (a bee product found in many lip-care products); and copolymers.
Patients typically present with an erythematous, scaly eruption that involves both lips and often extends beyond the vermilion border to involve the perioral skin. Edema, fissuring, vesiculation, and superficial ulceration can also be seen.
Symptoms include pruritus, burning, and tenderness. Depending upon the allergen source and exposure patterns, eczematous lesions may also be present in other body areas, providing a clue to the diagnosis.
commissures of the mouth. It typically presents with erythema, maceration, scaling, and fissuring at the corners of the mouth. Lesions are most often bilateral and may be painful.
Angular cheilitis is caused by excessive moisture and maceration from saliva and secondary infection with Candida albicans or, less commonly, Staphylococcus aureus. Angular cheilitis may occur at any age without sex predilection but is especially common in older individuals wearing
dentures. Predisposing local factors include wearing orthodontic appliances or ill-fitting dentures, sicca symptoms (dry mouth), intraoral fungal infection, poor oral hygiene, and age-related anatomic changes of the mouth due to reduced vertical facial dimensions.
In older individuals, the loss of vertical dimension of the mouth due to recession of the alveolar ridges or edentulous state leads to drooping of the corners of the mouth, drooling, and retention of saliva in the creases. Drooling, thumb sucking, and lip licking are frequent causes of angular cheilitis in young children.
Less common causes in both adults and children include nutritional deficiencies, such as B9 (folic acid), zinc, B6 (pyridoxine), B2 (riboflavin), or B3 (niacin) deficiency. Other causes include type 2 diabetes, Sjögren syndrome, immunodeficiency, irritant or allergic reactions to oral hygiene products
or denture materials, and medications causing dryness and xerostomia (eg, isotretinoin, acitretin).
Coconut Ozonated Oil
You Will Need
1-2 teaspoons of coconut ozonated oil
What You Have To Do
- Apply coconut ozonated oil directly to the affected areas.
- Leave it on for 30 to 40 minutes before rinsing it off.
- Reapply as needed.
Why This Works
Coconut ozonated oil exhibits two significant properties with respect to the treatment of angular cheilitis. One, its antifungal nature that can fight the fungal growth on your mouth, and two, its moisturizing nature that prevents further damage to your lips.