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Cheilitis pictures Halitus is an inflammatory disease of the red border of the lips that is characterized by a prolonged course and is often combined with dyskeratosis and stomatitis. The disease is equally common in representatives of both sexes, there are data on the incidence of children. And every person felt the influence of the symptoms of cheilitis at a certain stage of his life. It manifests itself after a long stay in the street with windy weather, in the frost, takes place in patients with dystopia of the salivary glands.

The need for treatment is due to the fact that cheilitis on the lips is not a cosmetic defect. It is an inflammatory process that covers the red border of the lips. Inflammation is a strong damaging factor, which causes the cells of the epithelial tissue to multiply more actively. This significantly increases the risk of developing a malignant epidermis of the lips. In the case of exfoliative and exudative cheilititis due to dyskeratosis, the risk is regarded as very high. With other forms of the disease, it is significantly lower. Therefore, in order to avoid complex consequences, cheilitis should be treated as quickly as possible.

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Heilith causes

With such an inflammatory disease as cheilitis, the causes of its development are multiple. They also depend on a specific form, among which are the following: catarrhal, candidal, exfoliative, eczematous, glandular cheilitis.

Catarrhalitis causes the development of

The main cause of development of catarrhal cheilitis is mechanical damage, abrasions, scratches infected with bacteria. Licking lips also provokes cheilitis, although this is due to the wetting of the red border with saliva. Exposure to cold wet or hot and dry air also leads to catarrhal cheilitis. One of the frequent factors of its development is vitamin B2 hypovitaminosis, which activates the processes of cell growth and division of the epithelium.

Chemical factors, including food, can also cause catarrhal cheilitis on the lips. The most dangerous chemical agents are gases present in the air of industrial enterprises. These aggressive substances damage the epidermal membrane of the epithelium of the red lip rim, leading to an inflammatory reaction. Aggressive fluids cause cheilitis on contact with the surface of the lips. Solid chemicals rarely cause cheilitis, because they practically do not come into contact with the lips of a person.

Candidiasis cheilitis causes the development of

In a disease such as candidal cheilitis, the causes of development are associated with the colonization of the mouth with the yeast fungus Candida( candida albicans).This means that as an isolated disease, candidal cheilitis does not exist. It is only one of the components of the syndrome of candidal stomatitis. In the process of its development Candida fungi fall into small lesions on the red border of the lips. They cause exudative inflammation, and later there are classic symptoms that characterize cheilitis.

Exfoliative cheilitis causes development of

One of the main reasons for the development of exfoliative cheilitis is hypovitaminosis B2.And if in the development of the catarrhal form of the disease this factor is practically unimportant, the exfoliative cheilitis is provoked precisely because of its lack. Moreover, the presence of exfoliative cheilitis on the lips indicates not only a deficiency of B2, but also a general hypovitaminosis or vitamin deficiency.

Along with the catarrhal form, exfoliative cheilitis can be caused by bad habits. Smoking cigarettes, pipes, hookah and biting the lips inevitably lead to their wetting with a saliva fluid. Due to the presence of enzymes and nutrients, it can lead to damage to the epidermis of the lips.

Lip wetting on windy or frosty weather leads to injuries and cracks in the epidermis. Subsequently, this process at the site of the damaged portion of the epithelium intensifies the processes of cell multiplication. Their keratinization is disturbed because of this, leading to a discaratosis. It is this phenomenon that leads to an exacerbation of the flow of exfoliative cheilitis and is capable of provoking cancers of the lips.

Eczematous cheilititis causes development of

Eczematous cheilitis develops due to local allergic inflammation. The provoking factor is the use of allergenic cosmetics in women and the presence of allergies to certain foods. The lack of vitamin B2 also plays an important role in the development of eczematous cheilitis.

Glandular Cheilitis Causes Development of

In a disease such as glandular cheilitis, the causes of development are associated with inflammation of the salivary glands located on the eve of the oral cavity on the inner surface of the lips. The disease can develop due to stomatitis, caries, dysbiosis in the oral cavity.

Also glandular cheilitis on the lips develops as a result of permanent wetting of the lips with saliva, which is produced by dystopic exocrine glands. Normally, they are located on the inner surface of the epithelium of the mucosa throughout the oral cavity, but near the red border of their lips is not available. In connection with the developmental disorders of the body, small salivary glands may appear next to the border of the mucous membrane and epidermis. The epithelium of the oral cavity is secretory, that is, it secretes saliva. The epidermis of the red border of the lips does not fulfill this function. But under the influence of saliva, the processes of keratinization are activated in it. This leads to cheilitis and to facultative precancer.

The concept of the meteorological cheilite

Often the most important provoking factor that leads to the development of cheilitis is the weather. Air humidity and its temperature, the speed of movement of air masses and precipitation - all this can cause damage to the epithelium of the lips. This leads to subsequent inflammation. Moreover, cheilitis can develop and under the influence of sunlight: ultraviolet rays affect the sensitive epithelium, leading to disc-arthrosis.

Halit, caused by weather phenomena, is called meteorological. It can manifest itself in different seasons, although the most common lesions occur in the winter, throughout the spring, and also in late autumn. Also meteorological cheilitis on the lips develops as a result of a lack of vitamins. This is especially acute in late autumn and spring.

By the nature of morphological changes, cheilitis caused by meteorological factors is catarrhal. In the process of its progression, it can become exfoliative. In this case, the transition of cheilitis of one form to another is mediated by a pronounced deficiency of vitamins B2 and PP.Replenishment of their deficit and competent local therapy will have to form the basis of treatment.

Halit Manganotti is an obligate precancerous condition and simultaneously a complex of symptoms characterizing the precancerous inflammation in the lower lip. The main cause of this cheilitis is a malnutrition of the epithelium of the red border of the lips. This is due to mechanical injuries to the lips and facial areas, damage to the branches of the facial nerve, chemical stimuli, including food. A special role in the development of Manganotti cheilitis is played by a lack of vitamin A. Along with it, there is a deficiency of B, C and PP vitamins.

Halit Symptoms

Symptoms of cheilitis vary depending on the specific form of the disease. Different signs are manifested to a different degree in each person. Also, the intensity of manifestation of symptoms depends on the severity of the disease and the extent of damage to the epithelium of the lips. Also, with such a pathology as cheilitis, the symptoms depend on the use of cosmetics, food ration, work place and work regime. For this reason, the symptoms of cheilitis can be overlooked for a long time or ignored, although the inflammation in the lips will continue.

Catarrhalitis cheilitis symptoms

Catarrhal cheilitis is manifested by thickening of the lips and enlarging them in size due to edema. Hyperemia of the vessels leads to the fact that the externally inflamed lips look bright red, and sometimes have a crimson tint. Especially it is expressed in patients with wide "fleshy" lips. On the surface of the lips with catarrhalitis, small scales appear that do not cover the entire area of ​​the red border. They severely detach from the lips, leaving a bleeding damage after themselves.

Catarrhalitis often leads to lip cracks that bleed. Also patients with catarrhal cheilitis complain of a burning sensation in the lips, a feeling of pulsation, roughness of the surface of the red border of the lips. These symptoms are caused by a violation of the corneal epithelium and the acceleration of the multiplication of epidermal cells. Also, a typical symptom of catarrhal( and exfoliative) cheilitis is ulceration in the corners of the mouth( seizures).

This symptom is called angular stomatitis. Here, the epidermis of the red border of the lips and the transitional portion of the lip are damaged. And in the corners of the mouth the intensity of dyskeratosis is the highest: the horny scales of the epidermis here are the largest. They can be seen immediately after sleep: they are whitish or yellowish gray, detach themselves painlessly, leaving no bleeding after themselves.

Photo exfoliative cheilitis

exfoliative cheilitis photo

Exfoliative cheilitis symptoms

Symptoms of exfoliative cheilitis are almost identical to those of catarrhal inflammation of the red border. On the surface of the lips, the appearance of horny scales is grayish or grayish-yellow in color. They are large and sometimes have the appearance of flakes, covering almost the entire surface of the red border.

Exfoliative cheilitis, the symptoms of which become more visible after sleep, also develops as a result of a lack of vitamin B2, and therefore will show up as seizures. In medical practice, it is commonly believed that exfoliative cheilitis is an extension of the catarrhal form. Progression of cheilitis leads to aggravation of dyskeratosis and deepening of the inflammatory reaction. This means that in exfoliative form it reaches deep sections of the epidermis.

Also exfoliative cheilitis is characterized by swelling of the lips, their bright coloration. In the case when horny scales come off, hemorrhagic crusts will appear on the surface of the lips. Moreover, exfoliative cheilitis is also characterized by the tendency of the lips to crack and engorge. They are rough, embossed, often bleeding cracks appear on their surface. Also, patients often feel a burning sensation in the lips, pulsation of small vessels and an increase in local temperature due to vasodilation.

Often it happens that in the fissures of the lips microbes that can cause bacterial inflammation settle. Then, in the place of the detached scales or damage to the epidermis of the red border of the lips, a septic inflammatory reaction develops. Sometimes pus may appear pus, and its edges become denser and coarsened. The scales themselves near the infected wound acquire a yellowish-brown hue.

Eczematous cheilititis symptoms

Eczematous or allergic cheilitis manifests itself with similar symptoms. They can be noticed after applying allergenic cosmetics or contacting chemicals with the surface of the lips. An important point in the diagnosis of eczematous cheilitis is that allergens that cause an inflammatory response to the surface of the lips also act on other areas of the skin. Any detergents that come into contact with the skin and cause contact dermatitis will also cause eczematous cheilitis on the lips.

Eczematous cheilitis has the following symptoms: the appearance of the edema of the lips and the bright color of the red border, the increase in the lips, especially the lower one, in size. A few hours after the development of inflammation on the red border of the lips begin to appear whitish or grayish scales, which with difficulty come off the surface of the epidermis. After self-tearing, a bleeding crack remains on the lips. If such scales fall off on their own, the wound is not formed.

Glandular cheilitis symptoms

Glandular cheilitis is one of the rarest forms of inflammatory lip diseases. It develops due to the constant contact of saliva from the lips of the salivary glands located near the red border. And the surface of the lips becomes inflamed, on it appear scales of gray or whitish color. Also the salivary glands themselves become inflamed, into which microbes often get. Then, in addition to the edema of the lips, their hyperemia and peeling, the patient will complain of a slight discharge of pus from the glands located on the inner surface of the lips. Also, the patient will be disturbed by an unpleasant odor in the mouth, the appearance of an abundant plaque at the root of the tongue.

Candidiasis cheilitis symptoms

In candidal cheilitis, the main symptoms are those signs that are caused by damage to the oral mucosa. Patients feel a burning sensation in the mouth due to damage to the mucous membranes and the surface of the tongue papillae. In cracks in the mucosa and on abrasions, the candidate actively replicates, which can be seen in the form of a whitish-gray plaque on the inner surface of the cheeks and lips, on the palatine arch, on the tongue, and sometimes even on the posterior wall of the pharynx.

Drinking liquids or eating food causes damage to the mucous membranes on which the candida is located. Often places of its growth bleed after mechanical damage to food. On the lips, candidal inflammation occurs incommensurately less often, and therefore whitish raids on the red border can not be seen. There are only signs of nonspecific inflammation: swelling and enlargement of lips in size, bright coloration of the lips due to the fullness of the vessels, a burning sensation and constant moisture on the lips.

There is also an acidic smell from the mouth, which may be absent, if the patient cleans his teeth several times a day or uses chewing gums. Scales on the lips and cracks in candidal cheilitis almost never appear.

Photos of mangalotti cheilitis

cheilitum mangantotti photo

Heilit Manganotti symptoms

This cheilitis is manifested in the elderly, mainly in men over 50 years. On the red border of the lips there are erosions and ulcers that become inflamed, sometimes bleed. Most often the symptoms are manifested in the form of a significant edema of the red border of the lips, there is soreness in the field of erosions and ulcers, the pulsation of the vessels is felt. In the lips, there is a burning sensation when eating, drinking water or drinking.

Halit Manganotti is distinguished by the absence of peeling in the corners of the mouth. If the exfoliative form develops together with the Manganotti cheilitis, the angular cheilitis can manifest itself. In other cases, there can be no question of it.

Heilith differential diagnosis

To suspect, diagnose cheilitis and cure it( except for eczematous and glandular forms), the patient can independently, without going to the doctor. And for this it is important to know the most important differences in the forms of cheilitis, which will require different treatment. The most important criterion for evaluating cheilitis is the elucidation of the circumstances of the onset of an inflammatory reaction.

If the lips began to swell and become inflamed after exposure to wind or frost, then cheilitis will be catarrhal. This form is the most benign: scales here are small, cover the narrow sections of the red border of the lips. It is not recommended to tear them off, because it is accompanied by severe soreness and leaves a crack with a bleeding wound. Subsequently, catarrhal cheilitis without treatment or using ineffective techniques can become exfoliative.

It is distinguished from catarrhal by the presence of a large number of dense scales on the surface of the lips. They come off much easier than with catarrhal. Also, in the exfoliative form, the relief of the damaged lips is much more pronounced. In addition, with exfoliative cheilitis, infection of the lips is observed, which is especially pronounced in the corners of the mouth and in the fissures on the spot of scaly tears. Then the lips acquire a pale shade due to the thickening of the epidermis. In some areas, flakes due to microbial inflammation acquire a yellowish-brown hue.

If contact with the allergen has occurred during the life process, the patient is concerned about eczematous cheilitis. This form is most often found in women using different types of cosmetics. If it is possible to establish the type of allergen, its exclusion from everyday use will permanently remove the symptoms of eczematous cheilitis.

If the patient has signs of stomatitis of Candida etiology, then the emerging symptoms of cheilitis should be associated with the infection of the lips with a yeast fungus. This cheilitis is the most characteristic, and it is difficult to confuse it with other forms. To make such a diagnosis is very simple. Where it is more difficult to deal with glandular cheilitis: it can only be delivered by a dental office doctor. Treatment of glandular cheilitis is also present in the spectrum of dentist responsibilities.

Photo of cheilitis in a child

cheilitis in a child photo

Halit in children

Such a disease as cheilitis in children is not more common than in adults. The incidence of cases registered with a child almost completely coincides with the incidence of adults. And children of different ages appear and predominate cheilitis of their type. In particular, in newborns most often occurs catarrhal cheilitis and exfoliative. The reason for its appearance is the long-term presence of foreign objects between the lips. Newborns are often given dummy pacifiers, on the surface of which a certain amount of saliva in the child is constantly accumulated. It acts as an irritant factor in the epidermis.

In newborns, catarrhal cheilitis manifests itself as an inactive, slow inflammation. The most simple method of correction is the application of Vaseline on the surface of the lips. The fat composition of petroleum jelly prevents the action of watery saliva on the epidermis of the red border. As a result, the surface layer of the lips is effectively protected, continuing to regenerate under normal conditions.

If the catarrhal cheilitis of newborns is not treated, then this state often turns into exfoliative cheilitis. In this case, the child does not exfoliate the scales independently: they fall off independently. Parents are forbidden to tear them away by force, as a bleeding crack can form on the surface of the lips. Then the child will not take the nipple of the breast, will have difficulty in feeding.

Also, cheilitis in children can develop due to suckling of the mother's breast. With each new feeding, it damages the nipple: cracks appear on its surface, which can be filled with pathogenic microbes. Even before the development of a woman's papillitis, it can cause cheilitis of a child.

At the age of 1 year, cheilitis develops and proceeds similarly. Also, the same forms of cheilitis appear as in the newborn period. However, after the child ceases to give pacifiers and there is weaning, catarrhal cheilitis develops relatively less often. Then, the reasons for mechanical, meteorological or domestic damage come to the forefront. The child often takes toys, pens, pencils into his mouth, can constantly bite his lips.

Heilith treatment

With such a pathology as cheilitis, treatment is prescribed and performed by different specialists. Chief among them is the dentist: the range of his duties includes the treatment of cheilitis of various etiologies, except for Manganotti cheilitis and atopic form of the disease. Atopic cheilitis( in other words eczematous) is treated by a physician as an allergist, dermatovenerologist or therapist. Heilit Manganotti is treated in dermatovenerology or in the oncology department.

All methods of treating cheilitis differ in three categories: it is conservative local and general therapy, radical local treatment. Conservative therapy is associated with the need to use local or systemic drugs that affect the etiological or pathogenetic mechanisms of development of cheilitis. Radical local treatment occurs only in the case of Manganotti cheilitis and with a glandular form of the disease.

Conservative therapy for cheilitis

Conservative treatment associated with the need to use local and systemic medicines is used for catarrhal, exfoliative, candida and atopic cheilitis.

Catarrhalitis requires only local treatment. It comes down to applying oily antibacterial ointments on the lips. For this purpose, any antimicrobial ointment is suitable, for example, Erythromycin, Tetracycline, Oxolinic. Under the influence of their cheilitis gradually passes.

Catarrhalitol treatment

The procedure is repeated 2-3 times a day after hygienic washing of the lips and face. In this case, the crusts emerging as a result of treatment can not be torn off independently: it is better to wait for their independent rejection. Also during the period of treatment it is recommended to stop using cosmetics and walking in windy or frosty weather. The approximate duration of treatment is 3-7 days.

Often catarrhal cheilitis is cured not so much by the antibiotic itself as by petroleum jelly. It is part of any ointment and is able to moisturize the lips and improve their nutrition, protect them from the effects of meteorological factors. In order to effectively catarrhal cheilitis, you should abandon the game of wind instruments, you need to stop gnawing pencils, smoking, biting your lips. These habits must be eliminated, as they cause and exacerbate cheilitis.

Exfoliative cheilitis treatment

Exfoliative cheilitis is treated in the same way as catarrhal. Used local medicines in the form of ointments based on Vaseline. However, in this case, there must be an antibiotic in them. Typically, such ointments include broad-spectrum antibiotics. Therefore, there is no fundamental difference in the form of an ointment. All of them are equally effective and should be applied 2-3 times a day after hygienic washing of the face and lips. It is important to remember the fact that exfoliative and catarrhal cheilitis requires complex vitamin therapy.

Eczematous cheilitis treatment

If catarrhal and exfoliative cheilitis is treated by the use of local remedies, then for eczematous, systemic ones should be used. The main goal of the treatment is the cessation of the development of the allergic reaction and the normalization of the local condition of the red border of the lips. This is required to stop inflammation in the lips and eliminate signs: soreness, redness, swelling, lip function.

Glucocorticosteroid ointments are used as topical medicines: Prednisolone ointment, Fluorocort, Flucinar. These drugs eliminate the signs of inflammation, depress the allergic reaction at the local level. These signs are the main symptoms characterizing cheilitis.

The second component of treatment is systemic therapy. As their use antihistamines. The patient should take tablet forms of such drugs as: Tavegil, Suprastin, Claritin and others. Dosage should be selected by a doctor, because atopic cheilitis in children and eczematous cheilitis in adults should be observed in an allergist.

Treatment of special types of cheilitis

Candidiasis and glandular cheilitis, as well as cheilitis Manganotti, belong to special types of cheilitis, the treatment of which has many differences. Candidiasis cheilitis is treated with candidiasis stomatitis and is characterized by the use of systemic antifungal agents. As their use, Levorin, Griseofulvin, Amphotericin B and Terbinafine. Specific dosages of drugs should be prescribed by the doctor, since he is engaged in the treatment of such patients. And more often stomatitis and cheilitis treat stomatologist.

The second point in the treatment of candidal cheilitis and stomatitis is the need to maintain the reactivity of immunity. To this end, the doctor should appoint immunomodulators and stimulants. A specific drug is selected after determining the cause of acquired immunodeficiency. Often this is an oncological disease, AIDS, a genetic defect.

Glandular cheilitis, as well as candidal cheilitis, is treated in a medical hospital. To this end, laser ablation of the salivary glands located on the inner surface of the lips is performed. Sometimes dystopic salivary glands can be excreted and removed surgically.

Heilit Manganotti is treated by an oncologist who observes the development of the disease in dynamics. The main goal of therapy is to control dyskeratosis and prevent the development of squamous cell carcinoma on the surface of the lips. To do this, the entire spectrum of drugs that improve healing and stimulate regenerative processes is used. Along with this, instrumental techniques are used: irradiation with UV rays to eliminate pathogenic bacteria.

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