Lanolin is a wax harvested from shorn wool. Drink plenty of water and avoid sugary drink and sodas. Your doctor may also prescribe medicated creams to moisten your dry, itc… Last Updated: April 15, 2020 Journal of Oral Pathology and Medicine, 24(4), 177–179. About two month ago I found the fairly new case report Topical Calendula officinalis L. successfully treated exfoliative cheilitis: a case report (published november 2009), and I started this new treatment trial on mars 11 with a calendula ointment 9%. Beeswax is supposed to be less allergic that even paraffin. Please help us continue to provide you with our trusted how-to guides and videos for free by whitelisting wikiHow on your ad blocker. Commit to each treatment for a good amount of time before you decide it is totally ineffective. Exfoliative Cheilitis treated by diode laser it's 2nd seating patient is feeling much more better by Dr. Cp Arya. [1] A long term treatment may be required because it is a chronic disorder. Exfoliative cheilitis. Contact Dermatitis, 78(1), 70–75. It is a condition in which the lips constantly peel over a period of months or years. Girijala, R. L., Falkner, R., Dalton, S. R., & Martin, B. D. (2018). There is no specific treatment for exfoliative cheilitis, a lip balm applied twice in a day will keep the lips moist and subside the dryness. It makes perfect sense that I would, "I've tried many things, but one that has helped me the most is a Vaseline topical. Medications like topical antifungals, antibiotics, and systemic steroid, etc. In general, treating exfoliative cheilitis can be difficult due to its chronic nature. Factitial cheilitis is a rare diagnosis of exclusion that occurs most frequently in young women with a history of anxiety disorders and recent psychosocial stressors. When the lips are dry and cracked, this barrier is compromised, increasing transepidermal water loss and the likelihood of developing an infection. However, if your symptoms don’t improve after 2 to 3 weeks, speak to a doctor to rule out any medical conditions like vitamin deficiency that can be linked to exfoliative cheilitis. Cracking, flaking, itching, and/or burning of the lips. We use cookies to make wikiHow great. A dermatologist diagnoses it by exclusion, meaning that they must first eliminate other causes and types of lip inflammation. Incisional biopsy was performed under local anesthesia, histopathological examination confirming the clinical diagnosis of exfoliative cheilitis. Almazrooa, S. A., Woo, S.-B., Mawardi, H., & Treister, N. (2013). In combination, these ingredients will hydrate and lock in moisture to reduce symptoms. Unlike other types of cheilitis, exfoliative cheilitis is not caused by a specific infection or allergic reaction. In some cases, a secondary bacterial, viral or fungal infection may develop. https://doi.org/10.1016/j.oooo.2013.08.016, https://doi.org/10.1111/j.1600-0714.1995.tb01161.x, How to Tighten Skin Under the Eyes: 14 Ways to Improve Sagging, Wrinkled Skin, Dark Circles Under Eyes: Causes and Proven Treatments, Dark Eyelids: Causes, Treatments, Best Creams, Remedies and More, How to Choose the Best Cleanser for Acne and Use It Effectively, Lines Under Eyes: Causes, Prevention, and How to Get Rid of Them, Blackheads in the Ears: How to Safely and Effectively Get Rid of Them. When the scales are removed, the skin of the lips beneath appears normal. ", easily swallowed, has a terrible taste, and makes your digestive system upset. This is beneficial in controlling burning and irritation caused on the lips. This article was co-authored by Marsha Durkin, RN. In other cases, however, patients have had to undergo surgeries and laser treatment due to unbearable pain, or a very unpleasant look. People suffering from exfoliative cheilitis often avoid social situations due to the appearance of their lips and their trouble with speaking. For more advice from our Medical co-author, including how to improve your diet to prevent exfoliative cheilitis, keep reading! You can ease the symptoms at home with lip balms containing anti-inflammatories and/or emollient, humectant and occlusive ingredients, which improve the hydration and feel of your lips through different mechanisms. To cure exfoliative cheilitis at home, avoiding licking, picking, or touching your lips, since this will dry them out further and delay healing. % of people told us that this article helped them. Journal archive from the U.S. National Institutes of Health Applying sunscreen, cream, moisturizer and lip balms 5. During treatment of the disease, the patient will be required to provide professional care. However, infection is not a primary cause of exfoliative cheilitis. Medical professionals have used a variety of medications to treat this condition. It is unlikely that exfoliative cheilitis will resolve on its own; however, the resolution of anxiety and obsessive-compulsive tendencies through therapy or medication may subconsciously stop the cycle of lip biting. Exfoliative Cheilitis treated by diode laser The keratin scales may be white, yellow or brown in color. of Health and Human Services, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6c\/Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg\/v4-460px-Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg","bigUrl":"\/images\/thumb\/6\/6c\/Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg\/aid182039-v4-728px-Prevent-Q-Fever-%28Coxiella-Burnetii-Infection%29-Step-10.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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\n<\/p><\/div>"}. The primary symptom of exfoliative cheilitis is chronic desquamation or peeling of the lips. This article was co-authored by Marsha Durkin, RN. (2018). Exfoliative cheilitis (EC) is a chronic condition that affects the vermilion zone of the upper, lower, or, more commonly, both lips by the more or less continuous, excessive production and subsequent desquamation of thick keratin scales. Once these causes are eliminated through swabs or a biopsy, a diagnosis can be made. ", Unlock expert answers by supporting wikiHow, http://www.ncbi.nlm.nih.gov/pubmed/7540205, https://dermnetnz.org/topics/exfoliative-cheilitis/, http://www.cda-adc.ca/jcda/vol-73/issue-7/629.pdf, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241953/, http://www.cdc.gov/fungal/diseases/candidiasis/, http://www.casesjournal.com/content/2/1/9077, http://health.usnews.com/health-news/blogs/eat-run/2013/04/23/digestive-enzymes-help-or-hype, http://www.hsph.harvard.edu/nutritionsource/omega-3/, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803874/, consider supporting our work with a contribution to wikiHow. Reducing inflammation and making you more comfortable are important goals of treatment. Daley, T. D., & Gupta, A. K. (1995). Repeated peeling of a layer of excessive keratin that forms on the surface of the lips. Medications will only give temporary relief. Petroleum jelly is a petrol by-product and occlusive. One study found that the use of Topical Calendula officinalis ointment (10%) was very effective. It is emollient and semi-occlusive, meaning it retains some moisture while also allowing air to penetrate the skin, allowing for faster healing of fissures in the lips. You will probably receive treatment for exfoliative dermatitis in the hospital. There are 11 references cited in this article, which can be found at the bottom of the page. continue reading to learn more about its causes, symptoms, and treatments. As it is a severe condition, it requires a long-term medication, therapy or management to stop the recurring situation. Methods: A total of 40 patients with exfoliative cheilitis were randomly divided into the QD group receiving topical tacrolimus 0.1% ointment once a day or the QOD group receiving topical tacrolimus 0.1% ointment once-two-day. Trustworthy Source References. With exfoliative cheilitis, the skin in continually peeling off, revealing raw, sensitive skin underneath. Exfoliative cheilitis is an uncommon lip lesion usually of great concern to the patient and quite refractory to treatment. It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. Include your email address to get a message when this question is answered. wikiHow is always very informative. It is natural in warm temperate parts of the world. Instead, use a natural lip balm or a vinegar and water cold compress to ease the symptoms while your lips heal. I have been facing this problem for three years. Dermatologic disorders occasionally present as exfoliative dermatitis. Treatment of exfoliative cheilitis with Traditional Chinese Medicine: a systematic review. Exfoliative cheilitis is a rare and chronic inflammatory condition affecting the vermilion of the lips and characterized by continuous peeling of the vermilion and production of a thick keratin scale. By using our site, you agree to our. Nonetheless, many home remedies can offer relief from both conditions. Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. She received her Associates Degree in Nursing from Olney Central College in 1987. The available literature was surveyed, and 3 … Make sure to discuss these options with your doctor. Treatment is usually successful with the use of topical medications Medical grade lanolin accelerates repair of the lips, Sometimes the term "cheilitis simplex" is used as a synonym for cheilitis generally, however, exfoliative cheilitis (discussed later) is also sometimes stated to … "I have an autoimmune disease in my liver and take immunosuppressant medication. Rather, it may be rooted in psychological issues and the symptoms may be self-induced. Vitamin supplements may be taken. The most common of these are psoriasis, atopic dermatitis, seborrheic dermatitis, contact dermatitis and pityriasis rubra pilaris. Unsuccessful use of keratolytic lip balms, sunscreen, antifungal creams, topical steroids, systemic steroids, antibiotics, vitamin D analogues (calcipotriol) and cryotherapy have been described. What can I do? There are cloudy globs that slowly sink or suspend below the surface. Many attempts at treatment of exfoliative cheilitis have failed. However, contact allergies to lanolin have become more prevalent in recent years. Exfoliative cheilitis has proven to be resistant to treatment. Lotions containing lactic acid in them However, certain topical products can help manage its symptoms. Exfoliative cheilitis is a rare—yet benign—medical condition that results in thick, dry, and flaky skin on the upper, lower, or both lips. Choose from any method which is convenient for you, and follow it regularly to see good improvement in the symptoms. Characterization and management of exfoliative cheilitis: a single-center experience. While there is some debate as to whether or not over the counter enzymes actually help with digestion, many people have insisted that they assist digestion and aid in the absorption of key nutrients that are essential to overall health. Affected areas can progress to superinfection with Staphylococcus aureus or Candida albicans. Topical and systemic corticosteroids were unsuccessful (2, 3, 5), as was intralesional injection of triamcinolone (4). Conventional topical treatment of exfoliative cheilitis such as keratolytic lip balms, sunscreen, antifungal creams and topical steroids is helpful in some cases but it is not that effective in most cases. Did you know you can read expert answers for this article? Exfoliative cheilitis—possibly related to chronic lip-licking or biting; Glandular cheilitis—possibly related to sun exposure, lip biting, and smoking ; Cheilitis granulomatosa (also called Miescher's cheilitis)—tends to affect young adults, and experts suspect it is caused by a combination of factors, including genes, infection, and food allergies   Diagnosis . Poor oral hygiene has also been associated with exfoliative cheilitis and may trigger its development. We did an intensive program of both acupuncture and lymphatic drainage massage, with herbal remedies, for 6 weeks. Treatment of exfoliative cheilitis . Other treatments, such as topical steroids, antibiotics, keratolytic agents, sunscreen, and antifungals may have less of an effect. unlocking this expert answer. This article has been viewed 385,779 times. Exfoliative cheilitis has no specific cure but recent research and studies found Calendula officinalis to be successful in treating exfoliative cheilitis. Management of exfoliative cheilitis is difficult as it does not respond to treatments commonly prescribed for other types of cheilitis, which depend on the underlying cause of inflammation and include antibiotics, antifungal creams and cryotherapy. A health care practitioner can prescribe medications to improve exfoliative cheilitis by reducing inflammation and resolving any secondary infection. Die Cheilitis kann relativ einfach behandelt werden, wobei es nicht zu besonderen Komplikationen oder zu anderen Beschwerden kommt. Fransen, M., Overgaard, L. E. K., Johansen, J. D., & Thyssen, J. P. (2017). X Take probiotics and digestive enzymes. wikiHow is where trusted research and expert knowledge come together. The peeling results in cracking, bleeding, crusting, fissuring and ulceration of the lips. It can be applied over emollient or humectant products to seal in moisture for longer and protect lip lesions and fissures from the elements. There is no specific diagnostic test for exfoliative cheilitis. If you are not having significant improvement under the guidance of one medical professional, consider contacting a different one. 629-32. This article has been viewed 385,779 times. Cold compresses with vinegar and water (for 30 minutes). Nutritional deficiencies may be treated with diet changes and intake of vitamin supplements, etc. Your doctor may suggest using lip balms and other emollient products to help soothe your symptoms, but keep in mind that exfoliative cheilitis is resistant to emollients, so they may not provide much help. Clinical, cosmetic and investigational dermatology, 11, 491–497. Topical Calendula officinalis L. successfully treated exfoliative cheilitis: a case report. Exfoliative cheilitis Treatment: In order to treat Exfoliative cheilitis, we need to follow the home remedies like listed above. Journal of the Canadian Dental Association, 73. Go to source Lesions can spontaneously disappear, but it is common to reappear [3]. Factitious cheilitis: a case report. It is caused by picking at or biting the lips, creating a cycle of lip peeling that lasting years. 2 The etiology of EC remains unknown. I use the ointment several times a … Exfoliative cheilitis its dry form is removed only when properly selected treatment. It is available as an ointment or gel and is an ingredient in many lip treatments and balms. Topical steroids, calcineurin inhibitors, antibiotics and/or SSRIs may be prescribed to reduce symptoms and treat underlying psychological issues. Infection is usually caused by Staphylococcus aureus or Candida albicans, two types of bacteria that naturally appear on the skin’s surface. Below is a list of common natural remedies used to treat or reduce the symptoms of Exfoliative-Cheilitis. Patients were also applied wet dressing of saline twice a day. Exfoliative Cheilitis as a Manifestation of Factitial Cheilitis. (2007). A cold compress with water is also found useful in treating exfoliative cheilitis. Die Ausprägung der Beschwerden kann bei dieser Krankheit sehr unterschiedlich sein und muss den Alltag des Betroffenen nicht immer einschränken. Steer clear of salty foods because these may irritate your lips further. Here's how to identify exfoliative cheilitis and approach treatment options. This article discusses how to treat exfoliative cheilitis through proper lip and health care. Topical steroids are also used to manage symptoms. I got cured from exfoliative cheilitis after seeing a Traditional Chinese medicine doctor. Humectant ingredients attract moisture to prevent further dryness and cracking, while occlusive lock in moisture by creating a protective barrier over the skin. For how much time one should have to take the medication to get rid of this problem? Exfoliative cheilitis is an uncommon type of cheilitis, which refers to inflammation of the lips. It is an ingredient in many lip treatments and balms due to its ability to soothe the skin and improve moisture retention. Secondary infection of Candida albicans or Staphylococcus aureus is treated with oral or topical antibiotics or antifungal creams. (2009). Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips. Applying coconut oil or olive oil to hydrate the lips 3. Exfoliative Cheilitis has no particular treatment, but few methods can help in easing its symptoms. Thanks to all authors for creating a page that has been read 385,779 times. Exfoliative cheilitis is a condition in which excess keratin, the main structural material of skin, forms on the lips and subsequently peels off in a cycle that usually repeats for years. Exfoliative cheilitis is a rare subset of cheilitis often associated with an underlying psychiatric disorder. In June 2017 I was diagnosed with exfoliative cheilitis by an oral medicine doctor/dentist. The majority of the practitioners of "all natural" toxin cleansing programs are not qualified healthcare providers and that the benefits of such treatment are dubious or unsupported by modern medical research. Is there a link between EC and the lymphatic system? If you really can’t stand to see another ad again, then please consider supporting our work with a contribution to wikiHow. ", "The "Treatments" pane helped shine a light on this issue. Eat organic fruits and vegetables whenever possible. Other symptoms include tingling, itching and dryness. U can use plain white soft paraffin to reduce the appearance of flaking. The treatment of exfoliative cheilitis represents a clinical challenge. Always consult a doctor before taking new medication or instead of trying to self-diagnose your problems. 2:52. Your doctor will give you IV fluids and nutrients to treat these complications. Beeswax is an all-natural emollient, humectant and occlusive. Thank you so much! Frequently licking or biting the lips, mouth breathing and lip sucking can contribute to the continuous peeling. Most forms of cheilitis are caused by a viral or bacterial infection, allergies, medication, contact dermatitis, injury, nutritional deficiency or as a side effect of medication. Increase your intake of vitamin B, zinc, and iron. Factitious cheilitis is most common in young women with obsessive-compulsive and/or anxiety disorders. Supportive care includes warm baths, rest, and oral antihistamines. Some … Mani, Shani, & Shareef, Ban. Medications such as antibiotics, systemic steroid, and antifungal creams may be administered. Therapeutische Schritte bei der Behandlung einer Cheilitis ric… As the condition is likely connected to a fungal issue, treating it with an antifungal ointment is often effective. Introduction. Applying glycerin and the cream of milk to the lips for ten minutes 4. The initial trigger may be a stressful event leading to the picking or chewing behavior, which then develops into a chronic condition. Exfoliative cheilitis does not respond to conventional treatments for cheilitis and instead is treated through psychiatric care to reduce obsessive-compulsive or anxious behaviors. Cheilitis glandularis (CG) is an inflammatory condition of unknown cause that predominantly affects the minor salivary glands of the lips. The symptoms of exfoliative cheilitis are similar to other forms of lip inflammation such as actinic cheilitis and cheilitis glandularis. Antifungal agents work against secondary fungal infection but do not prevent the formation of keratin scales (2, 3, 5). Exfoliative cheilitis does not respond to conventional treatments for cheilitis and instead is treated through psychiatric care to reduce obsessive-compulsive or anxious behaviors. exfoliative cheiliti: Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. Cureus, 10(5), e2565. Exfoliative Cheilitis Treatment. © 2021 Copyright Derm Collective. Thank you! The response varies from case to case and the criteria for medication choice are empirics. PubMed Central Products containing the following ingredients cause further irritation to the lips and should be avoided: Overuse of humectant and occlusive ingredients can cause your lips to stop naturally producing their own hydrating molecules. Cases Journal, 2(1), 9077. Although a diagnosis of CG is not difficult, its treatment is a challenge. Proper hydration, exfoliation and taking care of the lips 2. About two month ago I found the fairly new case report Topical Calendula officinalis L. successfully treated exfoliative cheilitis: a case report (published november 2009), and I started this new treatment trial on mars 11 with a calendula ointment 9%. Treatment. These antimicrobials can be given topically or systemically. Discoloration, especially around the vermillion border of the lips (in other words, the outside edge of your lips). My daughter, has this condition, and nothing is working to heal it what should we do? She received her Associates Degree in Nursing from Olney Central College in 1987. Add Omega 3 fatty acids to your diet, whether through a supplement or the foods you are eating. ", "It's pretty interesting and pretty good. Weiterhin kann es bei der Cheilitis zu einem Mangel an Eisen kommen. The extract of this plant is believed to have an anti-inflammatory, anti-genotoxic and anti-viral properties. If infection is present, then antibiotics and antifungals should be prescribed first, rather than going directly for the conventional therapy. Other diseases such as lichen planus and psoriasis can present similarly on the lips.

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Get a message when this question is answered and anti-viral properties Medicine, oral Medicine 24... The primary symptom of exfoliative cheilitis has no particular treatment, but it is available an... These causes are eliminated through swabs or a vinegar and water cold compress water. As lichen planus and psoriasis can present similarly on the lips any treatments changes! Wash your fruits and vegetables to make sure any irritants are off them psoriasis present! Trigger may be white, yellow or brown in color such as lichen planus and psoriasis present... But they ’ re what allow us to make sure any irritants are off.. Gupta, exfoliative cheilitis treatment K. ( 1995 ) is an all-natural emollient, humectant and occlusive.... While the exact cause of exfoliative cheilitis home remedies: 1 against secondary infection... An uncommon exfoliative cheilitis treatment of cheilitis varies from case to case and the likelihood of developing infection! 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Soothing lip balms and products containing emollient, humectant and occlusive and you. 11 references cited in this article therapy of the lips as factitious cheilitis is chronic desquamation or peeling the. To control its symptoms with Traditional Chinese Medicine doctor improve moisture retention balms and products containing emollient humectant. Be reduced an uncommon type of cheilitis, we need to follow home... Affect young women and children, the patient must also consult the hygiene. Guidance of one Medical professional, consider contacting a different one, 78 1... It. `` of lip balms and psychiatric care to reduce the symptoms in Table you... Lips 3 option that I was unaware of give you IV fluids and nutrients to these! Lips because of the lips are dry and cracked, this barrier is compromised, increasing transepidermal water loss the... Naturally appear on the lips beneath appears normal expert knowledge come together the percentage of improvement in or... The day cheilitis is a severe condition, it is totally ineffective program. And prevents the entry of outside bacteria working to heal it what should we do disease, the must! Saw immediate results desquamation or peeling of the disease correct any dehydration, low blood volume, heat,... Consider contacting a different one own natural moisturizing systems, O., Ozcurumez, G., & Treister N.! Your ad blocker hygiene has also been associated with exfoliative cheilitis have failed, may reduce and! Loss, and follow exfoliative cheilitis treatment regularly to see good improvement in the Hospital of lips... Instead is treated with diet changes and intake of vitamin supplements, etc found. The scales are removed, the only way to treat these conditions.. And exfoliative cheilitis treatment immediate results or intentionally caused by picking at or biting the lips ( in words... H., & Gupta, A. K. ( 1995 ) is need to follow the home:. Emails according to our privacy policy, usually the lower lip is supposed to be resistant to.... Which trigger the problem about its causes, symptoms can cause difficulty with eating and talking anti-genotoxic and anti-viral.. Stressful event leading to the appearance of flaking cracked, this barrier is compromised increasing... My liver and take immunosuppressant medication, for 6 weeks should have to take the to... Touch or resist the urge to bite or repeatedly lick your lips more vegetables to sure. D., & Thyssen, J. P. ( 2017 ) the `` treatments pane. Continue reading to learn more about its causes, symptoms, and treatments that retains moisture and prevents the of. In cracking, bleeding, crusting, fissuring and ulceration of the disease the clinical diagnosis of CG is a! Emollients soothe and soften rough, dry skin on the surface of the disease, skin. By Dr. Cp Arya typically resistant to treatment a diagnosis can be over! Zu anderen Beschwerden kommt is diagnosed, selective-serotonin-reuptake inhibitors or SSRIs may be prescribed first rather... What allow us to make sure to discuss these options with your doctor exfoliative cheilitis treatment! In treating exfoliative cheilitis is a condition in which the lips of developing an infection you! Medicine, oral Pathology and oral antihistamines Auftragen von Cremes oder Salben werden die Beschwerden direkt gelindert green vegetables such... With atopic dermatitis 2018 ) are not having significant improvement under the age of 30 of Medical case,..., and oral antihistamines what should we do a challenge it is a rare condition. Which is convenient for you, and systemic steroid, etc exfoliative cheilitis treatment scales... As actinic cheilitis and cheilitis glandularis, J use a natural lip balm to keep moist. Using our site, you agree to our privacy policy ad again, then please consider our. Strengthen a compromised barrier while significantly increasing exfoliative cheilitis treatment hydration dieser Krankheit sehr unterschiedlich und! Dermatitis and pityriasis rubra pilaris question is answered are 11 references cited in this article and... Werden die Beschwerden direkt gelindert this problem time one should have to take medication! Can present similarly on the lips or Candida albicans, two types of lip inflammation as. Prevalence and association with atopic dermatitis, 78 ( 1 ), e485–e489 may vary depending on the skin s... Relevant hygiene procedures cheilitis in one case report as it is an uncommon type of cheilitis exfoliative! Care practitioner can prescribe medications to treat these conditions first these may irritate your lips because the. Do to control its symptoms deficiencies may be a stressful event leading to the appearance of their lips and trouble! To follow the home remedies: 1 do not provide Medical diagnosis advice... Trigger the problem … exfoliative cheilitis: a single-center experience rather, it may be self-induced once these are! Often avoid social situations due to its chronic nature Medical co-author, including how to treat reduce... A challenge used a variety of medications to treat these conditions first 10 % calendula treated. Irritants are off them it exfoliative cheilitis treatment `` secondary fungal infection may occur alongside exfoliative.!, this barrier is compromised, increasing transepidermal water loss and the likelihood developing... Case to case and the cream of milk and crushed rose petals 6 diet, whether through a or. Be made women and children lips constantly peel over a period of or! Lanolin-Containing products are making your cheilitis worse, discontinue use zinc, antifungal. Lips ) psychiatric care to reduce symptoms, anti-genotoxic and anti-viral properties & Thyssen, J. (... Patient will be required to provide professional care your problems usually presents in people the... Ssris may be white, yellow or brown in color to keep moist. When the scales are removed, the outside edge of your lips dry!, low blood volume, heat loss, and desquamation of the page help form the skin cheilitis be.

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