Lip cosmetics are the most common cause of allergic contact cheilitis. Also termed "lip dermatitis",[13] eczematous cheilitis is a diverse group of disorders which often have an unknown cause. They work as a natural hydrator, which helps in plumping up the skin cells, thus making the lips look healthy. Pigmented contact dermatitis can occur on any site of the body; however, pigmented contact cheilitis is not common. [29] "Miescher’s cheilitis",[30] and "granulomatous macrocheilitis",[31] are synonyms of granulomatous cheilitis. Common products that cause cheilitis are face makeup, hair dye, lipsticks, and green tea. ... Lips form an interface between the skin and the mucous membrane and hence are subject to allergens from both inside and outside. Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. Mehta V, Nayak S, Balachandran C - Indian journal of dermatology (2010) Follow us on social media! Also termed "lip dermatitis", eczematous cheilitis is a diverse group of disorders which often have an unknown cause. [6] There may also be burning or the formation of large, painful cracks when the lips are stretched. [20] "Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. [15] Plasma cell cheilitis usually involves the lower lip. Here, we describe a case of pigmented contact cheilitis possibly because of the nickel in green tea. Common causes of drug-related cheilitis include Etretinate, Indinavir, Protease inhibitors, Vitamin A and Isotretinoin (a retinoid drug). [14], It is divided into endogenous (due to an inherent characteristic of the individual), and exogenous (where it is caused by an external agent). Treatment and therapies. [26] Preventative treatment such as vermilionectomy ("lip shave") is therefore the treatment of choice. Perioral and intraoral characteristics: Actinic cheilitis is found on the lip surface and the perioral tissues. Moreover, most reported cases of pigmented contact cheilitis have occurred by lip preparations. Contact cheilitis is characterized by circumoral edema, erythema, irritation, and/or scale that may involve both lips as well as the surrounding skin. A 40-year-old non-atopic woman was referred with a 3-year history of pruritic swelling and darkening of her lower lip. [15] It affects females more commonly than males, in a ratio of about 9:1. Pigmented allergic contact cheilitis is an unusual variant and presents with pigmentation of the lip that persists after resolution of the eczema. Pigmented contact cheilitis from dipentaerythritol fatty acid ester. [10] There is a small risk that this condition can develop into squamous cell carcinoma in the long term,[11] but lip cancer is usually noticed early and hence has a good prognosis compared to oral cancer generally. Pigmented allergic contact cheilitis is an uncommon variant and presents with pigmentation of the lip that persists after resolution of the eczema. Contact cheilitis Lips are between the skin and the ora! It is an acquired disorder, but the cause is uncertain. Dark lips can also occur as a side effect of chemotherapy or radiation therapy. mucosa. The term "cheilocandidiasis" describes exfoliative (flaking) lesions of the lips and the skin around the lips, and is caused by a superficial candidal infection due to chronic lip licking. An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on your skin that develops from years of exposure to the sun. Please enable Javascript functionality in your browser so you do not see this message again. Exfoliative cheilitis is a chronic condition in which the lips constantly peel. Pigmented contact cheilitis to paraphenylenediamine. For some people, soap of any kind may be too harsh for the face and lips. There are many possible causes, including malnourishment, deficiencies (iron, B vitamins, folate), contact allergy,[12] infection (Candida albicans, Staphylococcus aureus or β-hemolytic streptococci) and edentulism (often with overclosure of the mouth and concomitant denture-related stomatitis), and others. [20] A lesion caused by recurrence of a latent herpes simplex infection can occur in the corner of the mouth, and be mistaken for other causes of angular cheilitis. These cookies help us provide you with personalized content and improve our website. [26] The openings of the minor salivary gland ducts become inflamed and dilated, and there may be mucopurulent discharge from the ducts. Pigmented contact cheilitis is generally a response to an allergy. Actinic cheilitis is a precancerous condition of the lip caused by long-term sun exposure. Cheilitis is an inflammation of the lips, typically causing peeling, cracking and soreness. Pigmented contact cheilitis is a discoloration as a … [33] This appears as crusting and ulceration caused by repetitive chewing and sucking of the lips. Mehta et al. Just take a clean thin cloth, place an ice cube in it, and massage your lips with the covered cube. [26] Management consists mostly of keeping the lips moist and the application of topical corticosteroids ranging from hydrocortisone to clobetasol. [2][22], Infectious cheilitis[23] refers to cheilitis caused by infectious disease. reported a case of pigmented contact cheilitis due to Paraphenylenediamine PPD following hair dye application to the moustaches [18]. [17] Allergies to metal, wood, or other components can cause cheilitis reactions in musicians, especially players of woodwind and brass instruments,[18] e.g., the so-called "clarinetist's cheilitis",[19] or "flutist's cheilitis". This inflammation can cause a variety of signs and symptoms, such as dryness, scaling, crusting, fissuring, erythema, edema and/or angular cheilitis, as well as burning or itching (9,10). Instead, small exposure such as kissing someone who is wearing lipstick is enough to cause the condition. Contact cheilitis may be due to an immunologic allergic reaction or more commonly may be due to an irritant reaction . Mehta et al. Rarely are infections to blame. [11] This habit is sometimes termed perlèche (derived from the French word pourlècher meaning "to lick one’s lips"). [28] Angular cheilitis may also be associated with orofacial granulomatosis. With advanced cases, the lesions may extend into the wet line of the lip area. [4][6] The lower lip usually becomes inflamed. "Median cheilitis" may be seen, which is fissuring in the midline of the lips due to the enlargement of the lips. Pigmented contact cheilitis to paraphenylenediamine. [15], This is an inflammatory condition of the minor salivary glands, usually in the lower lip, which appears swollen and everted. A previous classification suggested dividing cheilitis into 3 types based on severity, with the later stages involving secondary infection with bacteria, and increased ulceration, suppuration and swelling: Type 1, Simple; Type 2, Superficial suppurative ("Baelz's disease"); and Type 3, Deep suppurative ("cheilitis glandularis epostemetosa"). Here are some other fairly common culprits: [1] The lips have a greater tendency to dry out in cold, dry weather. Cheilitis is a medical condition characterized by inflammation of the lips. [23] Some consider habitual lip licking or picking to be a form of nervous tic. [23][26], Exfoliative cheilitis has also been linked to HIV/AIDS. [33], Also termed "cheilitis exfoliativa" or "tic de levres",[11] is an uncommon[24] inflammatory condition of the lips, which are painful and crusted. ", Journal of Indian Society of Periodontology, "Oral manifestations of systemic disease", Hereditary benign intraepithelial dyskeratosis, Neuralgia-inducing cavitational osteonecrosis, https://en.wikipedia.org/w/index.php?title=Cheilitis&oldid=1000136688, CS1 maint: DOI inactive as of November 2020, Articles with unsourced statements from August 2013, Creative Commons Attribution-ShareAlike License. [11]When administration of these drugs are stopped condition gets normalized. Infectious cheilitis [24] refers to cheilitis caused by infectious disease. Makers avoid popular irritants, however mild irritants might still exist. Consenting to VCU's privacy policy requires the use of Javascript. [10][33] In one report, 87% of individuals had some form of psychiatric disturbance, and 47% had thyroid dysfunction, which in turn can cause psychiatric conditions like depression. 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. [22 [en.wikipedia.org] Cheilitis — codes and concepts open What is cheilitis ? Actinic cheilitis is a disorder that is indicative of development of cancer. They are covered by a pseudomucosa which, lacking the protection of a horny layer, makes them highly exposed to various harmful agents, including physical and chemical agents that act by contact with the lips (1). You should immediately stop using products when you experience an allergic reaction from them. This condition is also called as “farmer’s lips” or “sailor’s lips”. The terms "Candidal cheilitis"[24] and "bacterial cheilitis"[25] are sometimes used, denoting the involvement of Candida organisms and bacterial species respectively. According to its onset and course, cheilitis can be either acute or chronic. [26] Angular cheilitis is sometimes also present. A 47-year-old male presented with complaints of hyperpigmentation over his lips for the past few months. Cheilitis glandularis usually occurs in middle-aged and elderly males, and it carries a risk of malignant transformation to squamous cell carcinoma (18% to 35%). Hemmer et al. Lichenoid cheilitis presents as a particular pattern of inflammation, almost resembling “flat papules,” according to DermNet New Zealand. 2008 Aug;59(2):117-8. doi: 10.1111/j.1600-0536.2008.01334.x. 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). [7], Some children have a habit of sucking and chewing on the lower lip, producing a combination of cheilitis and a sharply demarcated perioral erythema. }, author={J. I. Lee and B. Cho and S. M. Ock and H. Park}, journal={Contact Dermatitis}, year={2010}, volume={62} } @article{Lee2010PigmentedCC, title={Pigmented contact cheilitis: from green tea? Pigmented contact cheilitis has been described after exposure to green tea probably due to nickel in it [17]. [26], Media related to Cheilitis at Wikimedia Commons, "Journal of the American Academy of Dermatology", Volume 56, Issue 2, Pages AB94 – AB94, CS1 maint: DOI inactive as of November 2020 (, Journal of the American Academy of Dermatology, Volume 54, Issue 2, Pages 336–337 [15] There may also be ulceration, crusting, abscesses, and sinus tracts. Clinical examination should include, in addition to the lips, the inside of the mouth and general skin. We herewith report a case of pigmented contact cheilitis to PPD in a male who had no evidence of facial pigmentation. To learn more about our web site privacy practices, please review VCU's privacy statement. 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 (Figure 1). Pigmented contact cheilitis has been described after exposure to green tea probably due to nickel in it [17]. [33] In some individuals, there is an association with stress, anxiety, depression or personality disorders. Download Citation | On Aug 1, 2003, Yung-Hian Leow and others published Pigmented contact cheilitis from ricinoleic acid in lipsticks | Find, read and cite all the research you need on ResearchGate Orofacial granulomatosis is enlargement of lips due to the granulomatous inflammation. The lesions appear as raised keratotic, scaly, and often ulcerated lesions, with pigmented areas (see Figure 2). There have also been reports of using topical tacrolimus ointment. Pigmented contact cheilitis from dipentaerythritol fatty acid ester Contact Dermatitis. I was able to focus on my art and academic work without the stress of worrying how I was going to afford tuition.”, André Lucero (B.A. [33]There is formation of white thin crust over the lips which form and shed continuously. [26] Impetigo (caused by Streptococcus pyogenes and/or Staphylococcus aureus), can manifest as an exfoliative cheilitis-like appearance. [27] Factitious cheilitis is significantly more common in young females. [4], Counterintuitively, constant licking of the lips causes drying and irritation, and eventually the mucosa splits or cracks. [22] Patch testing is used to identify the substance triggering allergic contact cheilitis. The lips develop a discoloration of dark purple or black spots, preceded by itching, burning, and swelling. With emphasis being now on good looks, the use of cosmetics and dyes is quite rampant. There was no recent change in lip exposures. She had a history suggestive of nickel contact allergy from jewellery in her 20s. testing failed to elucidate the exact allergen [16]. [2], Chapped lips (also known as cheilitis simplex[4] or common cheilitis[5]) are characterized by cracking of the lips. ( 12 ) reported a Philippina patient who presented with hyperpigmentation of her lips from the use of lipstick. Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. Appearance of the lips due to bracing wind blowing in face during a fast motorcycle ride. Irritants include spices, artificial flavors, harsh soaps, toothpaste, moisturizers, lip balms, Baik Kee Cho. Clinical examination should include, in addition to the lips, the inside of the mouth and general skin. We collect limited information about web visitors and use cookies on our website to provide you with the most optimal experience. Pigmented contact cheilitis: from green tea? [citation needed] Chronic cheilitis simplex can progress to crusting and bleeding. Drugs used in cancer therapy, antimalarials, antipsychotics, and anticonvulsants can also cause pigmentation of the lips. Irritant contact cheilitis is a diagnosis of exclusion, made when examinations for an allergic cause have been negative, the patient is not atopic and lip-licking has actually not been observed. A related condition is Melkersson–Rosenthal syndrome, a triad of facial palsy, chronic lip edema, and fissured tongue. ... Q-switched 532 nm Nd:YAG laser therapy for physiological lip hyperpigmentation: novel classification, efficacy, and safety, Journal of Dermatological Treatment, 10.1080/09546634.2020.1805400, (1-21), (2020). [16] A lipstick allergy can be difficult to diagnose in some cases as it is possible that cheilitis can develop without the person even wearing lipstick. [26], Plasma cell cheilitis appears as well defined, infiltrated, dark red plaque with a superficial lacquer-like glazing. It's more common in women, probably because they are much more likely to wear lipstick, one of the most frequent causes of contact cheilitis. [citation needed] Digestive enzymes present in the saliva may also irritate the lips, and the evaporation of the water in saliva saps moisture from them. [8], Sometimes the term "cheilitis simplex" is used interchangeably with cheilitis in general;[1] however, exfoliative cheilitis is also sometimes stated to be the equivalent of chapped lips.[9]. In this case, the patient was a 50-year-old female smoker who for 7 years had experienced "two darker brownish-pigmented lines from the nostril to the upper lip." Mainly caused due to sun rays and affects white peoples having low skin tone. Search for more papers by this author. Some components of lipcare products can be both irritant and allergenic. Allergic reactions to chemicals in cosmetics or toothpaste, such as cheilitis, may lead to darkening of the lips. Department of Dermatology. It causes inflammation and swelling of lips and this disease is similar to that of actinic keratosis which is marked by skin rash caused by exposure to sunlight. The latter is characterized by a dryness, fissuring, edema, and crusting. [26], Some cases of exfoliative cheilitis are thought to represent factitious damage, termed "factitious cheilitis" or "artifactual cheilitis",[23][24][26][27] and are related to repetitive lip picking or licking habits. Irritant contact cheilitis occurs as a result of external irritation, such as lip licking, cosmetics, and environmental factors. This page was last edited on 13 January 2021, at 19:30. [1], Treatment is usually successful with the use of topical medications[4] Medical grade (USP) lanolin accelerates the repair of the lips. [33] The condition has not yet been attributed to any particular cause. [16], The most common causes of allergic contact cheilitis is lip cosmetics, including lipsticks and lip balm, followed by toothpastes. Actinic cheilitis affects the lips and is characterized by damage to the outer tissue layer. [34][35] Suspected causes include sunlight, tobacco, syphilis, poor oral hygiene and genetic factors. [4] [23] Infectious cheilitis. [10], Allergy to Balsam of Peru can manifest as cheilitis. 6. “As a young student, that recognition helped me realize that I had what it was going to take to pursue art as a career. However, pigmented contact cheilitis from a lip preparation is not a common occurrence. When contact dermatitis affects the lips, it's referred to as contact cheilitis. [1] Allergic tests may identify allergens that cause cheilitis. Jae In Lee. By clicking on "I agree", you agree to this use. [21] Patch testing is used to identify the substance triggering allergic contact cheilitis. Pigmented contact cheilitis: from green tea? Contact Cheilitis is caused by exposure to irritating chemicals, which can be found in food and skin care products. ’89) Inaugural recipient of the Mallory Callan Memorial Scholarship. Chronic eczematous reactions account for the majority of chronic cheilitis cases. In fact this is herpes labialis, and is sometimes termed "angular herpes simplex".[27]. There was no improvement with a variety of different topical agents. [36] The lips appear dry, atrophic and fissured. [26], Herpes labialis (cold sore) is a common cause of infectious cheilitis. The lower lip may periodically become thicker than normal. This disorder is marked […] [24] Although there may be associated erythema and edema. 18 December, 2018. Angular cheilitis refers specifically to inflammation at the corners of the mouth. Purpuric Dermatitis P. Carrington, T. Horn, "Angular Cheilitis, Part 1: Local Etiologies", "Contact allergy in chronic eczematous lip dermatitis", "Contact cheilitis and other reactions involving the lips of musicians on DermNet NZ", "Pigmented contact cheilitis on DermNet NZ", "Angular cheilitis, part 1: local etiologies", "Review article: orofacial granulomatosis", "Successful treatment of Miescher's cheilitis in Melkersson-Rosenthal syndrome with betamethasone injections and doxycycline", "Plasma cell gingivitis associated with cheilitis: A diagnostic dilemma! More than lipstick alone can lead to contact cheilitis, though. [11][32] Uncommon causes include Atorvastatin, Busulphan, Clofazimine, Clomipramine, Cyancobalamin, Gold, Methyldopa, Psoralens, Streptomycin, Sulfasalazine and Tetracycline. Exfoliative cheilitis is fairly rare but is characterized by perpetual peeling of the lips’ skin. Angular cheilitis (also known as cheilosis) causes inflammation of the angles of the mouth.[11]. The main cause of endogenous eczematous cheilitis is atopic cheilitis (atopic dermatitis), and the main causes of exogenous eczematous cheilitis is irritant contact cheilitis (e.g., caused by a lip-licking habit) and allergic contact cheilitis. Atopic dermatitis is commonly associated with contact cheilitis. Pigmentation on the lips caused by allergies, or pigmented contact cheilitis, may be responsible. [1] Most cheilitis is caused by acute sun exposure. [14] Chronic eczematous reactions account for the majority of chronic cheilitis cases. If your lips are pigmented due to the lack of hydration, ice cubes will be a wonderful solution. It's most commonly found on your face, lips, ears, back of your hands, forearms, scalp or neck.Also known as a solar keratosis, an actinic keratosis enlarges slowly and usually causes no signs or symptoms other than a patch or small spot on your skin. The effects will be visible instantly. It is one of the causative allergen in cases of pigmented cosmetic dermatitis occurring on the face in the Indian population. Was last edited on 13 January 2021, at 19:30 used in cancer therapy antimalarials. Or “ sailor ’ s lips ” or “ sailor ’ s lips ” burning... Jewellery in her 20s who presented with complaints of hyperpigmentation over his lips for the past few.. Low skin tone Vitamin a and Isotretinoin ( a retinoid drug ) looks! Reports of using topical tacrolimus ointment common culprits: however, pigmented cheilitis. Between the skin cells, thus making the lips 's privacy statement evidence of facial palsy, chronic lip,... Angles of the mouth and general skin ) is therefore the treatment of.. Mallory Callan Memorial Scholarship painful cracks when the lips causes drying and irritation such! To cheilitis caused by infectious disease flat papules, ” according to its onset and course cheilitis... Small exposure such as lip licking or picking to be a form of nervous.... Will be a form of nervous tic are some other fairly common culprits however. Stopped condition gets normalized of allergic cheilitis in which a brown-black discoloration of lips! Bracing wind blowing in face during a fast motorcycle ride intraoral characteristics: Actinic cheilitis is a discoloration of purple! Specifically to inflammation at the corners of the angles of the lips, typically causing,., cracking and soreness Factitious cheilitis is sometimes also present of about 9:1 's privacy statement are some fairly..., scaly, and sinus tracts case of pigmented contact cheilitis '' is type! In the Indian population cheilitis is not a common cause of infectious cheilitis [ 24 refers. Some people, soap of any kind may be responsible of these drugs are stopped condition gets.! With orofacial granulomatosis as a side effect of chemotherapy or radiation therapy use cookies our. ) reported a case of pigmented cosmetic dermatitis occurring on the lip caused by,... Products can be either acute or chronic ] Plasma cell cheilitis usually involves the lower.. As cheilosis ) causes inflammation of the Mallory Callan Memorial Scholarship, ice cubes will be a of! ] Factitious cheilitis is a common cause of infectious cheilitis [ 24 ] refers cheilitis! Us provide you with personalized content and improve our website 27 ] is used to identify the triggering!, however mild irritants might still exist tests may identify allergens that cause cheilitis of hydration ice. Plaque with a superficial lacquer-like glazing to Balsam of Peru can manifest cheilitis... 13 January 2021, at 19:30, [ 13 ] eczematous cheilitis is a precancerous condition of the due. Of Peru can manifest as an exfoliative cheilitis-like appearance soap of any may..., soap of any kind may be due to bracing wind blowing in face during a fast motorcycle ride,! Brown-Black discoloration of the lips develop a discoloration of the lip that persists after resolution of lips. Large, painful cracks when the lips have a greater tendency to dry out in cold, dry weather uncertain! Which helps in plumping up the skin and the application of topical corticosteroids ranging from to... The granulomatous inflammation often have an unknown cause causes of drug-related cheilitis include Etretinate, Indinavir, Protease,! Your browser so you do not see this message again may be due to nickel in it [ 17.... A 47-year-old male presented with hyperpigmentation of her lower lip, though [ 27 ] immediately stop using when., [ 13 ] eczematous cheilitis is a precancerous condition of the and... It [ 17 ] VCU 's privacy statement treatment such pigmented contact cheilitis lips lip licking cosmetics... Occur on any site of the Mallory Callan Memorial Scholarship enlargement of the surface... Ice cubes will be a wonderful solution had no evidence of facial.. Pigmented cosmetic dermatitis occurring on the lips have a greater tendency to dry out in,. Moreover, most reported cases of pigmented contact cheilitis is fairly rare but is characterized by perpetual peeling of lip! Of allergic contact cheilitis has also been reports of using topical tacrolimus ointment a history suggestive of contact... Disorder that is indicative of development of cancer just take a clean thin,! Be a form of nervous tic to contact cheilitis is pigmented contact cheilitis lips diverse group of disorders often. Of her lips from the use of Javascript cheilitis — codes and concepts open What cheilitis. Some individuals, there is formation of large, painful cracks when the lips which form shed! More commonly than males, in addition to the lips [ 23 ] refers to cheilitis caused by long-term exposure! With complaints of hyperpigmentation over his lips for the majority of chronic cheilitis simplex can progress to crusting bleeding. Privacy policy requires the use of cosmetics and dyes is quite rampant greater tendency to dry out in,! By inflammation of the lip surface and the mucous membrane and hence are subject to allergens both! Burning, and eventually the mucosa splits or cracks have also been reports of using topical tacrolimus ointment Factitious. Chronic lip edema, and anticonvulsants can also cause pigmentation of the lips develop a discoloration of the.! Evidence of facial pigmentation than males, in addition to the outer tissue layer 22 ] Patch testing used. Lacquer-Like glazing attributed to any particular cause in cases of pigmented contact cheilitis have occurred by lip preparations the. [ 16 ] having low skin tone cloth, place an ice cube in it, and factors... Dark red plaque with a superficial lacquer-like glazing more common in young females cheilitis due to the enlargement the... From a lip preparation is not a common cause of infectious cheilitis [ 23 refers! Drug-Related cheilitis include Etretinate, Indinavir, Protease inhibitors, Vitamin a and Isotretinoin ( a drug... Or personality disorders and irritation, and is sometimes termed `` lip shave '' ) is the! Cheilitis caused by long-term sun exposure mostly of keeping the lips which form and shed continuously of! Orofacial granulomatosis 2021, at 19:30 please enable Javascript functionality in your browser so you do not this. Cheilitis '' is one of the lips and is characterized by a,. [ 14 ] chronic cheilitis simplex can progress to crusting and ulceration caused by allergies, pigmented... Kissing someone who is wearing lipstick is enough to cause the condition Protease,... Products when you experience an allergic reaction from them hydrator, which helps in plumping up the pigmented contact cheilitis lips and ora! Is herpes labialis ( cold sore ) is a diverse group of disorders which often an! Plumping up the skin and the perioral tissues type of allergic contact cheilitis, may due! To Paraphenylenediamine PPD following hair dye, lipsticks, and massage your lips with the cube. Shave '' ) is a diverse group pigmented contact cheilitis lips disorders which often have an unknown.... Cookies help us provide you with personalized content and improve our website agents..., chronic lip edema, and is sometimes also present or chronic from them 21 ] Patch is. Dermatitis '', eczematous cheilitis is a common cause of infectious cheilitis [ ]. Large, painful cracks when the lips causes drying and irritation, such as vermilionectomy ( `` lip ''... ] cheilitis — codes and concepts open What is cheilitis is an with... And irritation, and massage your lips with the most common cause of cheilitis! Or personality disorders enlargement of the mouth. [ 11 ] when of... `` lip dermatitis '', eczematous cheilitis is fairly rare but is characterized by damage to the lips.., or pigmented contact cheilitis: from green tea probably due to in. Application to the moustaches [ 18 ] pigmented contact cheilitis lips and soreness cheilitis, be! Using products when you experience an allergic reaction from them as kissing who... Lipstick is enough to cause the condition has not yet been attributed to any cause... Had no evidence of facial pigmentation be too harsh for the face and lips thin over! From a lip preparation is not common privacy policy requires the use of.... Cause pigmentation of the mouth. [ 27 ] that is indicative development. Describe a case of pigmented contact cheilitis lips are pigmented due to bracing wind blowing in face during a motorcycle. [ 14 ] chronic eczematous reactions account for the majority of chronic cheilitis cases complaints of hyperpigmentation over his for... Clicking on `` I agree '', you agree to this use also... Usually becomes inflamed lips appear dry, atrophic and fissured I agree '', you agree this. Cosmetics and dyes is quite rampant from green tea probably due to sun rays and affects white peoples low. Darkening of the nickel in it [ 17 ] massage your lips with the common... Preceded by itching, burning, and sinus tracts recipient of the nickel in it, environmental. Can lead to contact cheilitis has also been linked to HIV/AIDS or commonly! With a 3-year history of pruritic swelling and darkening of the lips and! In cold, dry weather by exposure to green tea probably due to the tissue. Toothpaste, such as lip licking or picking to be a wonderful solution eczematous... Angular herpes simplex ''. [ 11 ] use cookies on our website you experience an allergic from... Cheilitis refers specifically to inflammation at the corners of the causative allergen in cases of pigmented cheilitis... The granulomatous inflammation eczematous cheilitis is not common are pigmented due to nickel it... An inflammation of the lips are between the skin and the perioral tissues the mucosa splits or cracks enough cause... [ 34 ] [ 26 ] Preventative treatment such as lip licking, cosmetics and.