Cheilitis is a medical condition characterized by inflammation of the lips. According to its onset and course, cheilitis can be either acute or chronic. Most cheilitis is caused by acute sun exposure. Allergic tests may identify allergens that cause cheilitis.
这种疾病可以单独出现,也可以作为某些更广泛的健康问题(例如维生素 B12 或铁水平低引起的贫血)或局部感染的一部分出现(herpes, oral candidiasis)。唇炎也可能是对刺激性或过敏性物质的反应,或者由阳光(actinic cheilitis)或某些药物(尤其是类维生素 A)引发。已有多种形式的唇炎报道(angular, contact (allergic and irritant), actinic, glandular, granulomatous, exfoliative and plasma cell cheilitis)。 The disease may appear as an isolated condition or as part of certain systemic diseases/conditions (such as anemia due to vitamin B12 or iron deficiency) or local infections (e.g., herpes and oral candidiasis). Cheilitis can also be a symptom of a contact reaction to an irritant or allergen, or may be provoked by sun exposure (actinic cheilitis) or drug intake, especially retinoids. Generally, the forms most commonly reported in the literature are angular, contact (allergic and irritant), actinic, glandular, granulomatous, exfoliative and plasma cell cheilitis.
○ 光化性唇炎
主要由阳光引起,常见于白种人。长期暴露可能发展为鳞状细胞癌。
○ 过敏性唇炎
分为内源性(由个体固有特征导致)和外源性(由外部因素引起)。内源性湿疹性唇炎的主要原因是特应性唇炎,外源性湿疹性唇炎的主要原因包括刺激性接触性唇炎(如舔唇习惯)和过敏性接触性唇炎。
过敏性接触性唇炎最常见的诱因是唇部化妆品,如口红和润唇膏,其次是牙膏。轻微接触,例如亲吻涂有口红的人,也足以引起接触性唇炎。对金属、木材或其他成分过敏的患者,尤其是演奏木管或铜管乐器的音乐家,可能出现所谓的“单簧管演奏家唇炎”或“长笛演奏家唇炎”。
○ 治疗 - 非处方药
如果症状仅限于上唇,可能与长期过度日晒有关。应避免阳光直射并定期就诊。避免使用含致敏成分的口红或润唇膏。使用非处方类固醇软膏并服用非处方抗组胺药可有所帮助。
#Hydrocortisone cream
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]