Cheilitis

Cheilitis is an inflammation of the red border, mucous membranes and skin of the lips. There are several forms of heylita.
Cheilitis simple glandularia develops under the influence of chronic inflammatory changes of a red border. Characterized by hypertrophy of the minor salivary glands of the lips, expansion of their excretory ducts, inflammation of the mucous membrane of the lips, cracking; possible eczema.
Cheilitis glandularia purulent results coccal infection, characterized by swelling, redness and allocation drops of pus from the gaping holes ductless minor salivary glands and the formation of a dense infiltrate around them; you may abscess, and in the long possibly malignant transformation.
Treatment glandularia heylita - rinse 3% solution of hydrogen peroxide and 0.25% solution of bleach, lubrication lips 5% syntomycin emulsion, aksigorta; recommended electrocoagulation of the affected glands, and the formation of large packages glands - surgery to remove them.
Cheilitis eczema is a manifestation of eczema in the lip area, occurs when vitamin a deficiency, the impact of micro-organisms (cocci and others) or is allergic in nature. The red border of the lips and skin around - edematous, dry, often cracks with bloody scabs. Can join fungal flora (see Candidiasis).
Treatment: vitamins, especially b, desencibilizirutuyu therapy (Dimedrol, suprastin); with persistent course can be applied corticosteroids. Local naphtalanna, prednizolonovuyu ointments, oksikort, 5% syntomycin emulsion. Fungal heylity assign inside nystatin or levorin 500 000 UNITS 4-6 times a day, rinse mouth 10-15% solution of sodium borate (Bura), the lesions grease 5% ointment levorin.
Granulomatous cheilitis of Miescher, or syndrome Melkersson - Rosenthal, characterized by thickening and increase lip volume. Treatment: sometimes positive effect is observed from the use of corticosteroid drugs; conducting plastic surgery.
In all cases heylita necessary sanation of oral cavity.

Cheilitis (cheilitis; from the Greek. choilos - lip - is an inflammation of the lips. In a General sense, any inflammation of the red border, the skin and the mucous membrane of the lips can be called cheilitis. However, the cheilitis is called a limited number of diseases of the mouth. The following types heylita: eczema, bacterial, mycotic, actinic (meteorological), exfoliativei, abrasive precancerosis and glandularia.
Eczematous cheilitis is usually a manifestation of common seborrheic eczema (atopic dermatitis), but frequently occurs only on the lips. The clinic depends on the severity of inflammation. In the acute stage - swelling, bright red, the formation of small bubbles and erosions in the chronic phase - congestive hyperemia, infiltration, dryness, formation of flakes and cracks.
Prescribe antihistamines (Dimedrol, pipolfen), large doses of vitamins, especially of the complex, in resistant cases, corticosteroids (prednisone 15 to 20 mg per day). Locally - ointment with corticosteroids (0.5% prednisolone, oksikort, 1% hydrocortisone, dexamethasone)in chronic phase designate 10% naftalinovogo, 2% sulfur-tar ointment, alternating with corticosteroid creams. In particularly resistant cases - irradiation border rays Bucky tray.
Microbial cheilitis results pyococcal infection and Zayed". Clinically as eczematous cheilitis. For destruction pyococcal flora first time appoint emulsion with antibiotics (5-10% syntomycin, oksikort). After epithelization cracks treatment, as in chronic eczema (see).
Mycotic cheilitis is called candidiasis of the mouth and lips. In cracks and scales find a yeast fungus Candida albicans. Clinically usually runs as eczematous cheilitis. Treatment - lubrication lips nystatin ointment (100 000 UNITS nystatin 1 g basis), 20% solution of borax into glycerol and aniline dyes. On the disappearance of fungus treatment, as in the eczematous cheilitis.
Actinic cheilitis occurs with prolonged exposure to sunlight and under the influence of certain meteorological factors (wind, frost). Depending on the severity of the process is observed exudative form with swelling, education bubbles, erosions, crusts and dry - with congestive hyperemia, plate peeling, infiltration, with symptoms of dryness and itching and burning. Usually in summer, these effects are amplified in winter can subside. Treatment: stop working outdoors, inside (as with lupus erythematosus) is a synthetic antimalarial drugs (chloroquine, delagil 0.25 g 2 times per day, at the rate of up to 20 g) and vitamins, especially of the complex; lubrication lips 0.5% prednizolonovuyu ointment. To protect your lips from the sun should sunscreen ointments (such as cream "Ray").
exfoliative cheilitisExfoliative cheilitis (printing. Fig. 5). By clinical distinguish two forms: dry and exudative. In the dry form from the border of the mucosa up to the middle of the red portion of the lips is located band congestive hyperemia, covered with a thin like mica flakes, Central part, which is quite firmly sticks to the epithelium, and peripheral slightly lifted. This state can last indefinitely. The exudative form (with the same type that and dry) accompanied by a more rapid inflammation with significant swelling of the lips, hyperemia, education mucopurulent extensive crusts, sometimes hanging down to his chin. Unlike eczema, the clinical picture may remain unchanged for many months and even years. Often there is a transition from one form to another. Treatment is often ineffective. The most favorable result achieved rays Bucky tray in the form of repeated courses in combination with procaine blockades 10 ml 1% solution novokaina the transitional fold (only 20-25 injections per course). Local corticosteroid ointments.
When abrasive precancerosis the cheilitis on the red border of the lips occurs one or more foci congestive hyperemia with small infiltration in the center of which you receive long-term healing sore or ulcer that should be considered as a precancer. Continuously, relapse erosion. Treatment both at the actinic cheilitis. Hard not kapitalizirovana erosion should be surgically removed and a histological examination.
Glandularia cheilitis divided into simple and purulent. Simple glandularia cheilitis occurs when a continuous selection droplets of saliva from hypertrophic minor salivary glands in the mucosa of mouth. In sharp around the holes glands may occur leukoplakia (see). Continuous saliva on the red border of the lips sometimes causes eczema irritation and crack formation, on the background of developing cancer. Purulent glandularia cheilitis is a pyococcal inflammation hypertrophied glands. Lip grows, swells, deep palpation dense knots of minor salivary glands, gaping ductless which when pressed allocated droplets of pus. Can cause abscesses, and in the long course possible malignant regeneration.
The mucous membrane and the red border of the lips smeared 10% syntomycin emulsion, aksigorta, alcohol solutions aniline dyes, or 2% solution of iodine tincture. When remitting inflammatory phenomena - rays irradiation Bucky tray. To prevent recurrence shown electrocoagulation minor salivary glands, and the formation of large packages - surgical removal. At the same time, provide a thorough sanitation of the oral cavity.