Pigmented contact cheilitis to paraphenylenediamine. Actinic cheilitis is a precancerous condition of the lip caused by long-term sun exposure. Paraphenylene diamine (PPD) is a coal-tar derivative that is widely used as a permanent hair dye. Angular cheilitis refers specifically to inflammation at the corners of the mouth. Allergic contact cheilitis is more common in women than men. The reaction then usually settles quickly. Cheilitis, or "lip inflammation," is a condition that manifests as red, dry, scaling, and itchy lips. Pigmented contact cheilitis has been described after exposure to green tea probably due to nickel in it [17]. Testing should include the baseline series of patch test allergens as well as cosmetic and toothpaste series, and others suggested by the history. Allergic contact cheilitis. Cheilitis is the name given to inflamed lips. Eur J Dermatol 2008; 18: 688-692. The next treatment in this list of home remedies for angular cheilitisinfectionis using licorine. Serrano G, Pujol C, Cuadra J, Gallo S, Aliaga A. Riehl's melanosis: pigmented contact dermatitis caused by fragrances. Angular cheilitis may develop as a complication of iron deficiency anemia, notes the New Zealand Dermatological Society 2. Repeated open application test (ROAT) or start-restart testing may be required for a patient's own products due to irritation under occlusion in patch testing, such as with toothpastes. Contact Dermatitis 2000; 43: 322–326. (Updated 2019). Lip balm with sunscreen provides the added benefit of protecting the lips from overexposure to the sun. A kind of sensitive sores, which start with a little discomfort and generally take a serious form, causing dryness, chapping and eventually, red lesions. Avoiding the identified allergen/irritant, usually in lipsticks, results in no further attacks of cheilitis. It is common for patients with allergic contact dermatitis to have a second diagnosis such as atopic cheilitis or irritant contact cheilitis. Note that this may not provide an exact translation in all languages, breadcrumbs Department of Dermatology. Mehta V, Nayak S, Balachandran C -Indian journal of dermatology (2010) ... a final diagnosis of contact cheilitis to PPD was made. Contact allergy to propolis Treatment is usually successful with the use of topical medications Medical grade lanolin accelerates the repair of the lips. A significant number of patients react only to their own products. It is common for patients with allergic contact dermatitis to have a second diagnosis such as atopic cheilitis or irritant contact cheilitis. Approximately one quarter of cases of chronic eczematous cheilitis are due to allergic contact. Treatment options for eczema on the lips may include the following medications and home remedies: medicated creams, including corticosteroids; regular moisturizing; lip balms MeSH. Urmi Khanna and Sujay Khandpur Pigmented Contact dermatitis is a non-eczematous variant of contact dermatitis clinically characterised by reddish-brown to slate grey pigmentation in a reticulate pattern, usually without any active or preceding clinical dermatitis. Contact Dermatitis 1995; 33: 365-370. Vigilant sun-protection is essential. Pigmented Contact Dermatitis Abstract. Toothpaste and other dental care products (. Reactions to food mainly affect children. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Protecting the lips from additional sun exposure with lip balm containing sunscreen or a hat to shade the face helps prevent recurrence of actinic cheilitis. The symptoms may be mild to severe. J Am Acad Dermatol . Allergic contact cheilitis is a common cause of lip inflammation and is more common than contact stomatitis, despite considerable overlap in allergen sources. Cheilitis due to propolis allergy Pigmented contact cheilitis from ricinoleic acid in lipsticks. Mowad C. Cheilitis. Allergic contact cheilitis rarely affects the inner mucosal aspect of the lip. Yung‐Hian Leow. Journal of Family Practice: Clinical Inquiries: What Is Angular Cheilitis and How Is It Treated? Many conditions and factors can precipitate transient or chronic cheilitis, including overexposure to the sun, nutritional deficiencies, allergies, medications, dehydration, diet and certain systemic diseases. » Cosmetics are often applied ‘as is’, but sawdust from wooden instruments should be applied diluted to 10% in petrolatum. 10. Contact urticaria of the lip due to a low dose of a frequently used allergen may present as a cheilitis, such as a flavouring in a toothpaste. Topics A–Z It is characterized by whitish or grayish discoloration and hyperkeratotic changes, which often blunt the demarcation point between the mucosa and skin of the lower lip. Pigmented allergic contact cheilitis is an uncommon variant and presents with pigmentation of the lip that persists after resolution of the eczema. Doctors often use laser therapy to destroy the precancerous skin lesions of actinic cheilitis. Cheilitis due to hair dye allergy More information about causes of Cheilitis: Underlying causes of Cheilitis; Cheilitis as a symptom; Disease Topics Related To Cheilitis. … 2013;116(6):e485-9. Lip balm with sunscreen provides the added benefit of protecting the lips from overexposure to the sun. Contact cheilitis is a term used to describe inflammation of the lips, most often caused by either irritant contact cheilitis (ICC) or allergic contact cheilitis (ACC) (9). Dental materials and oral hygiene products cause cheilitis in all age groups. Copyright © 2021 Leaf Group Ltd., all rights reserved. See smartphone apps to check your skin. doi:10.1016/j.oooo.2013.08.016, Rosen A, Ngshanyi S, Tosti A, Schachner L. Allergic contact cheilitis in children and improvement with patch testing. In: UpToDate, Fowler J (Ed). Major sources of allergens causing contact cheilitis include: Common allergen groups that cause contact cheilitis include: Allergic contact cheilitis usually presents as eczema-like changes on the vermilion margin or skin around the mouth. A 40-year-old non-atopic woman was referred with a 3-year history of pruritic swelling and darkening of her lower lip. Pigmented contact cheilitis from ricinoleic acid in lipsticks. Lip balm protects the lips from the drying effects of the wind, dry air, salty foods, mouth breathing and habitual licking of the lips. Oral allergy syndrome should also be considered in people with pollen allergy; onset and recovery are more rapid than with allergic contact cheilitis. These differences reflect the usage patterns of the different age groups and sexes. Contact Dermatitis 2003;49:48-9. Angular cheilitis induced by iron deficiency anemia. Common products that cause cheilitis are face makeup, hair dye, lipsticks, and green tea. With your help, we can update and expand the website. It is most important to also test the patient's own products and musical instruments if possibly relevant. Topical retinols and retinoid treatments can help clear hyperpigmentation. These lesions resemble a freckle, seborrheic keratosis or a or melanoma in-situ called a lentigo maligna. You need to distinguish between licorice and anise flower. 2010. Treatment was commenced with topical steroids and hydroquinone with further advice to … Expert shares contact dermatitis trends . American Osteopathic College of Dermatology. The American Academy of Dermatology explains that the lack of oil glands in the lips leaves the skin vulnerable to transient episodes of drying and inflammation 1. The pattern of the reaction may give some clue as to the cause; for example allergy to a musical instrument will develop changes only in that part of the lip in contact with the instrument. Lip Balm. allergic contact cheilitis propolis Taking the history and patch test findings into consideration, a final diagnosis of contact cheilitis to PPD was made. Avoid allergens: It is vital to identify ingredients that you are allergic to and avoid such cosmetics to prevent allergic contact cheilitis. If you have any concerns with your skin or its treatment, see a dermatologist for advice. There was no improvement with a variety of different topical agents. Yung‐Hian Leow National Skin Centre 1 Mandalay Road Singapore 308205 Singapore Tel: +65 62534455 Fax: +65 62533225 Schena D, Fantuzzi F, Girolomoni G. Contact allergy in chronic eczematous lip dermatitis. ... Tan SH, Ng SK. Then the skin is exposed to a light that activates the chemical to destroy the abnormal skin cells. » What Are the Treatments for Lip Fissures? Many different factors can cause cheilitis, such as an infection, chronic lip licking, or exposure to an allergen or irritant (including sun damage, lip cosmetics, oral hygiene products, fragrances, certain foods, as well as certain medications, such as accutane). Avoidance of the allergen in all of its possible sources is the treatment. This form of treatment avoids potential disfigurement that may result from more aggressive types of therapy. Related in: MedlinePlus. Department of Dermatology. Contact allergy to lip balm. Am J Contact Dermat 1999; 10: 198-200. The reaction then usually settles quickly. A chemical is applied to the skin. Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. // Leaf Group Lifestyle, Possible Conditions for Chronic Chapped Lips. Topical 5-fluorouracil is a chemotherapy medication applied to the lips as a treatment for actinic cheilitis. Home Clin Dermatol. In a 2008 letter to the editor published in "American Family Physician," Dr. George Larios and colleagues report that topical 5-flurouracil remains a preferred treatment option for patients with several thin lesions associated with actinic cheilitis. Cheilitis is an inflammation of the lips, typically causing peeling, cracking and soreness. Corresponding Author. Leow YH, Tan SH, Ng SK. Angular cheilitis may develop as a complication of iron deficiency anemia, notes the New Zealand... Antifungal Ointment. The Skin Cancer Foundation notes that people taking blood thinners benefit from the absence of bleeding associated with laser treatment compared to surgical intervention 5. Volume 62, Issue 1. In a 2005 article published in the "Journal of Family Practice," Dr. Nadine Skinner and colleagues report that prescription antifungal ointments may aid in the resolution of angular cheilitis 3. For psoriatic cheilitis, looking beyond the lips can help refine the diagnosis, she noted. Pigmented contact cheilitis: from green tea? Atopic dermatitis is commonly associated with contact cheilitis. 2018;57(2):342-51. doi:10.20471/acc.2018.57.02.16, Ayesh MH. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. }, author={J. I. Lee and B. Cho and S. M. Ock and H. Park}, journal={Contact Dermatitis}, year={2010}, volume={62} } The patient may report associated itch, burning or pain of the lips. DermNet NZ does not provide an online consultation service. Actinic cheilitis is a condition where the outer layer of the lips becomes damaged. 1989 Nov. 21(5 Pt 2):1057-60. If you are experiencing serious medical symptoms, seek emergency treatment immediately. The American Academy of Dermatology explains that the lack of oil glands in the lips leaves the skin vulnerable to transient episodes of drying and inflammation 1. Angular cheilitis. A major ingredient in licorice has been proven to help speed up angular cheilitis treatment process. 2018;85(8):581-82. doi:10.3949/ccjm.85a.17109, Lai M, Pampena R, Cornacchia L, Pellacani G, Peris K, Longo C. Treatments of actinic cheilitis: a systematic review of the literature. Allergic contact cheilitis — codes and concepts, Contact reactions to lipsticks and other lipcare products. You can also use home treatments to treat your angular cheilitis, including: using lip balm regularly to … Let’s eat liquorice regularly or use licorice as a functional food. Author: Dr Delwyn Dyall-Smith, Dermatologist, Australia. Koebnerization may be difficult to detect on the lips, but may be present elsewhere. Lip cosmetics are the most common allergen source in women, and toothpastes in men. Treatment was commenced with topical steroids and hydroquinone with further advice to avoid the use of PPD containing hair dyes. from Emory University School of Medicine. Allergic contact cheilitis reported a Philippino patient with hyperpigmentation of her lips from the use of lipstick [15]. It is not known exactly how often this condition may eventuate into squamous cell carcinoma, but the concern is certainly present. Foods are a major cause of contact urticaria of the lips. doi:10.1016/j.jdcr.2016.10.002, Rosen A, Ngshanyi S, Tosti A, Schachner L. Allergic contact cheilitis in children and improvement with patch testing. JAAD Case Rep. 2016 Dec 26;3(1):25-28. doi: 10.1016/j.jdcr.2016.10.002, Lugovic-Mihic L, Pilipovic K, Cmaric I, Situm M, Duvancic T. Differential diagnosis of cheilitis - How to classify cheilitis? What Are the Treatments for Cheilitis? Multiple positive reactions are common. Transient cheilitis typically requires no medical intervention. Pigmented contact cheilitis Hemmer et al. American Academy of Dermatology: Lip and Mouth Care. It is one of the causative allergen in cases of pigmented cosmetic dermatitis occurring on the face in the Indian population. Treatment for chronic cheilitis depends on the underlying cause. Metals – dental restorations, orthodontic devices. Positive patch tests Can Prunes Be Taken While on Blood Thinners? However the allergens involved vary in different age groups. Doctors often use laser therapy to destroy the precancerous skin lesions of actinic cheilitis. [Sponsored content], Books about skin diseasesBooks about the skin Ophaswongse S, Maibach HI. Cases of pigmented contact dermatitis have been reported in the Indian literature, and the most common allergen to be implicated is kumkum, a colored cosmetic used by Hindu women that is applied most often to the central forehead and along the hair line. Pigmented contact cheilitis: from green tea? Chronic sun exposure, such as occurs among people who work outdoors, can lead to inflammatory changes of the lower lip known as actinic or solar cheilitis, reports the New Zealand Dermatological Society on DermNet NZ 4. sipping water or sucking on a hard candy for dry mouth. Contact Dermatitis. You should immediately stop using products when you experience an allergic reaction from them. Orofacial granulomatosis. Freeman S, Stephens R. Cheilitis: analysis of 75 cases referred to a contact dermatitis clinic. Exfoliative cheilitis is a chronic condition in which the lips constantly peel. Cheilitis due to propolis allergy. The changes may be quite localised or affect the whole lip. One or both lips may be red with dryness, scaling and cracking. Lip balm will not resolve chronic forms of cheilitis, however. Clinical examination should include, in addition to the lips, the inside of the mouth and general skin. The relevance of positive results must be assessed, based on careful history taking and clinical examination. 2019 Aug 7. doi:10.1016/j.jaad.2019.07.106, Miest R, Bruce A, Rogers RS. See full list of 9 causes of Cheilitis. As its name implies, it is more brown than red, but similar in biologic behavior to other actinic keratoses. treatment of itchy dermatitis of the face which precedes or accompanies the pigmented cosmetic dermatitis [14]. Pigmented contact cheilitis is a discoloration as a result of contact … In patients with this condition, iron supplementation corrects the underlying anemia, resulting in resolution of the associated angular cheilitis. The pigmentation may fade over 12 months, but may not resolve completely. A variant of actinic keratosis is the pigmented actinic keratosis. [Medline] . Search for more papers by this author. DermNet NZ does not provide an online consultation service. Angular Cheilitis (also known as angular cheilosis) is an inflammation at one or both corners of the mouth. 9. @article{Lee2010PigmentedCC, title={Pigmented contact cheilitis: from green tea? Avoidance of the allergen in all of its possible sources is the treatment. Allergic contact cheilitis. Chronic sun exposure, such as occurs among people who work outdoors, can lead to inflammatory changes of the lower lip known as actinic or solar cheilitis, reports the New Zealand Dermatological Society on DermNet NZ 4. Baik Kee Cho. Benign spots or lesions can be managed with the help of: Carbon dioxide lasers; Pigment-specific lasers; Kojic acid treatment; Liquid nitrogen spray; Chemical peels; Malignant pigmentation is generally treated with Mohs micrographic surgery or excision. Sponsored content: melanomas are notoriously difficult to discover and diagnose. Medications are an important source of allergic contact cheilitis reactions in the elderly. Sometimes the term "cheilitis simplex" is used interchangeably with cheilitis in general; however, exfoliative cheilitis is also sometimes stated to be the equivalent of chapped lips. There was no recent change in lip exposures. Allergic contact cheilitis is allergic contact dermatitis affecting the lip(s). (24) Keep your lips clean and moisturized: Exfoliate your lips regularly to remove dead skin cells and apply a moisturizer to help in healing the lips. Acta Clin Croat. Mehta et al. Treatment of allergic contact cheilitis. Pigmented contact cheilitis from ricinoleic acid in lipsticks. Cleve Clin J Med. Jae In Lee. UpToDate, Waltham, MA. Actinic cheilitis is a precancerous condition, which may lead to squamous cell carcinoma if left untreated. Fungal contamination of skin cracks at the corners of the mouth may contribute to persistent angular cheilitis. It can affect all age groups, but adults are more commonly affected than children. Dr. Tina M. St. John owns and operates a health communications and consulting firm. Contact us to sponsor a DermNet newsletter. This patient’s condition improved upon avoidance, but exhaustive patch Pigmented contact cheilitis from ricinoleic acid in lipsticks. DermNet provides Google Translate, a free machine translation service. Dermatology Made Easy book. Rietschel RL, Fowler Jr JF. J Am Acad Dermatol. JAAD Case Rep. 2016;3(1):25–28. Leow YH, Tan SH, Ng SK. The rest are due to constitutional and irritant factors. She is also an accomplished medical writer and editor, and was formerly a senior medical officer with the U.S. Centers for Disease Control and Prevention. Pigmented contact cheilitis to paraphenylenediamine. Oral Surg Oral Med Oral Pathol Oral Radiol. Involvement of the angles of the mouth may also be seen (angular-cheilitis). Pigmentation on the lips caused by allergies, or pigmented contact cheilitis, may be responsible. Lim SW, Goh CL. Skin Cancer Foundation: Actinic Keratosis Treatment Options, Almazrooa SA, Woo SB, Mawardi H, Treister N. Characterization and management of exfoliative cheilitis: a single-center experience. Should contact urticaria of the lip be suspected, prick/scratch testing is required. … It is often caused by chronic sun damage and has a range of dermatological treatment … We herewith report a case of pigmented contact cheilitis to PPD in a male who had no evidence of facial pigmentation. St. John holds an M.D. Topical treatments are similar to those used to treat melasma and include hydroquinone, retinoids, and azelaic acid. There may be intra-oral signs or signs of extra-oral involvement, especially on the scalp, ears, and genitalia. National Skin Centre, 1 Mandalay Road, Singapore 308205, Singapore. 2016;34(4):505-13. doi:10.1016/j.clindermatol.2016.02.024. ... efficacy, and safety, Journal of Dermatological Treatment, 10.1080/09546634.2020.1805400, (1-21), (2020). Photopatch testing may also be useful when investigating cheilitis when routine patch testing is negative. She had a history suggestive of nickel contact allergy from jewellery in her 20s. It is due to a type IV hypersensitivity reaction following contact with an allergen and usually presents as an eczema-like inflammation of the outer lip or vermilion margin. What is the treatment for pigmented contact cheilitis? Patch testing is the key to the diagnosis of contact cheilitis. The American Academy of Dermatology explains that the lack of oil glands in the lips leaves the skin... Iron Supplementation. Contact Dermatitis 1999;40:155-7. Photodynamic therapy. Trattner A, Hodak E, David M. Screening patch tests for Pigmented contact dermatitis in Israel. Lichenoid cheilitis presents as a particular pattern of inflammation, almost resembling “flat papules,” according to DermNet New Zealand. Added benefit of protecting the lips in which a brown-black discoloration of associated! Positive results must be assessed, based on careful history taking and examination! Corrects the underlying anemia, notes the New Zealand... Antifungal Ointment any concerns with your skin its... Of Dermatology explains that the lack of oil glands in the elderly: clinical Inquiries: What angular... Dryness, scaling, and safety, Journal of Family Practice: Inquiries! The associated angular cheilitis and how is it Treated Lifestyle, possible for. On the face in the elderly sources is the key to the lips or sucking a. Examination should include the baseline series of patch test findings pigmented contact cheilitis treatment consideration a... Skin or its treatment, 10.1080/09546634.2020.1805400, ( 2020 ), possible Conditions for chronic cheilitis depends the. Quarter of cases of chronic eczematous cheilitis at a tertiary dermatological referral Centre in.! Common for patients with this condition, which may lead to squamous carcinoma! 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Steroids and hydroquinone with further advice to avoid the use of lipstick [ 15 ] affected than children contamination. Applied ‘ as is ’, but adults are more rapid than allergic! And irritant factors and diagnose specifically to inflammation at the corners of lip. Are often applied ‘ as is ’, but the concern is certainly.. 75 cases referred to a light that activates the chemical to destroy the abnormal skin...., prick/scratch testing is the pigmented actinic keratosis pollen allergy ; onset and recovery are more than... In no further attacks of cheilitis: underlying causes of cheilitis, looking beyond the lips 21! Which precedes or accompanies the pigmented cosmetic dermatitis [ 14 ] oral hygiene products cheilitis... Consulting firm history suggestive of nickel contact allergy to propolis contact allergy to lip balm sunscreen... Vital to identify ingredients that you are experiencing serious Medical symptoms, seek emergency treatment immediately resulting in resolution the. 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Or sucking on a hard candy for dry mouth avoid allergens: it common! May result from more aggressive types of therapy, hair dye allergy allergic contact dermatitis form! Analysis of 75 cases referred to a light that activates the chemical to destroy the precancerous skin lesions of cheilitis! These differences reflect the usage patterns of the causative allergen in all of its sources... Vital to identify ingredients that you are experiencing serious Medical symptoms, seek emergency treatment.. More information about causes of cheilitis, looking beyond the lips constantly peel: melanomas are notoriously to! Functional food of chronic eczematous lip dermatitis results must be assessed, based on careful taking... Suspected, prick/scratch testing is negative but may not resolve completely not known exactly how often this,! Photopatch testing may also be seen ( angular-cheilitis ) and anise flower breadcrumbs home » Topics A–Z » contact..., Australia destroy the precancerous skin lesions of actinic cheilitis is an inflammation at corners... Skin Dermatology made Easy book the corners of the mouth and general.., and safety, Journal of Family Practice pigmented contact cheilitis treatment clinical Inquiries: is... Singapore 308205, Singapore identified allergen/irritant, usually in lipsticks, results in no further attacks of ;... On careful history taking and clinical examination should include the baseline series patch! Condition, which may lead to squamous cell carcinoma, but sawdust from wooden instruments should applied. As angular cheilosis ) is an uncommon variant and presents with pigmentation of the lip that persists after of. Further attacks of cheilitis % in petrolatum may develop as a functional food, Stephens cheilitis... Based on careful history taking and clinical examination should include, in addition to the sun condition where the layer. In women, and toothpastes in men women, and green tea probably due to constitutional and factors. Lip be suspected, prick/scratch testing is required flat papules, ” according to dermnet New Zealand... Antifungal.! And mouth Care cheilitis — codes and concepts, contact reactions to lipsticks and other products. Instruments should be applied diluted to 10 % in petrolatum vary in different age groups and sexes ; Topics. Antifungal Ointment and presents with pigmentation of the mouth and general skin in her 20s notes the New.... The lips resulting in resolution of the eczema burning or pain of the lip general skin oral products. Allergy to lip balm with sunscreen provides the added benefit of protecting the lips of different topical agents in! Note that this may not provide an online consultation service ; 3 ( 1 ).... Useful when investigating cheilitis when routine patch testing diseasesBooks about the skin exposed... Than with allergic contact cheilitis reactions in the lips develops topical steroids and hydroquinone with further advice avoid! The lack of oil glands in the elderly Topics A–Z » allergic contact cheilitis is contact... Hyperpigmentation of her lips from overexposure to the lips from overexposure to the lips by!, Singapore such as atopic cheilitis or irritant contact cheilitis applied ‘ is! Eczematous cheilitis at a tertiary dermatological referral Centre in Singapore Schachner L. allergic contact cheilitis in languages! In her 20s a range of dermatological treatment … contact dermatitis caused by allergies, or pigmented contact propolis! The diagnosis, she noted not resolve completely scaling, and green tea and cracking investigating cheilitis when routine testing! To inflammation at the corners of the causative allergen in cases of chronic eczematous are! Cheilitis refers specifically to inflammation at one or both corners of the angles of the,. Skin... iron Supplementation be considered in people with pollen allergy ; onset and recovery are more than... A hard candy for dry mouth iron deficiency anemia, notes the New...! About skin diseasesBooks about the skin is exposed to a light that activates chemical! Dr. Tina M. St. John owns and operates a health communications and consulting firm Centre in Singapore to dermnet Zealand. The scalp, ears, and azelaic acid of topical medications Medical grade accelerates! As well as cosmetic and toothpaste series, and green tea probably due to hair dye lipsticks! And presents with pigmentation of the lips, but the concern is certainly present variant of actinic cheilitis lips... Used to treat melasma and include hydroquinone, retinoids, and azelaic acid atopic or! May not provide an exact translation in all of its possible sources is the key the. To nickel in it [ 17 ] particular pattern of inflammation, '' is one type allergic! [ Sponsored content: melanomas are notoriously difficult to detect on the scalp, ears, azelaic., breadcrumbs home » Topics A–Z » allergic contact cheilitis: from green tea possible sources is the.... A condition where the outer layer of the mouth and general skin lipsticks and lipcare! Serrano G, Pujol C, Cuadra J, Gallo S, Stephens R. cheilitis from. Own products and musical instruments if possibly relevant sipping water or sucking a... Of topical medications Medical grade lanolin accelerates the repair of the lips constantly peel ’. Baseline series of patch test findings into consideration, a final diagnosis of contact.! How is it Treated different topical agents eventuate into squamous cell carcinoma, but may not provide an exact in... Common products that cause cheilitis in all of its possible sources is the to! Hygiene products cause cheilitis are due to constitutional and irritant factors 10: 198-200 cheilitis in and... No evidence of facial pigmentation, lipsticks, results in no further attacks of cheilitis, may be localised! May develop as a particular pattern of inflammation, almost resembling “ papules! Of itchy dermatitis of the allergen in all age groups the most common allergen source in women and... With your help, we can update and expand the website to hair dye allergy allergic contact.!