What is Exfoliative Cheilitis?

Exfoliative cheilitis is a persistent skin condition that affects the lip. This ailment can be described by persistent peeling of the skin, with flaking and dryness. Non- stop peeling of the lips skin will later reveal raw skin and following symptoms such as fissures, burn, crack and pain.

Exfoliative cheilitis is not a typical occurrence or as the incidence is not commonly reported. It is a chronic skin condition that often affects young adults or those below the age of 30 years. It commonly develops in the Vermillion of the lips and the persistent and severe scaling of the lips can lead to heightened sensitivity of the lips likely triggering cosmetic issues. Some readers indicate that this lip condition is more common in young women and girls. It is the chronic condition that has the tendency to recur after the stage of its remission.

Exfoliative cheilitis is not a grave or life-threatening condition but the onset could be signifying an underlying disease or may be indicating that something is not going right in the body. It could also be an indication of the vitamin deficiency or increased toxins somewhere in the body such as in the liver.

Additional symptoms of exfoliative cheilitis can include the following:

  • Itching and burning sensation on the affect lip or lips
  • Ulceration fo fissuring of the lip
  • Tingling sensation over the affected part of the lip
  • Lip swelling
  • Dryness of the lips
  • Discoloration of the lip

Due to the unappealing appearance of the loss, the patient can undergo challenges from mood disturbance or depression as the patient tries to dodge social interactions and other events. Discomforts expected due to the symptoms of pain and burning feeling.

The exact reason of exfoliative cheilitis continues to be unknown although several factors are being considered that triggered the onset.

Factitious disorders are one-factor mostly implicated in the onset of exploitative cheilitis. Factitious damage is an ailment where an individual deliberately produces or exaggerates a symptom, acting as if they have an illness. People with factitious disorders tend to have behaviors that lead to the onset of exfoliative cheilitis includes constant lip licking, lip sucking, lip hiking and mouth breathing.

Candida yeast overgrowth is a fungal mouth infection that is involved in the formation of exfoliative cheilitis. It is normally caused by Candida albicans which normally thrive in the human body but the small amount only. The rest remains dormant for some time is the body until stimulated by a variable that can cause it to become reactive and start the infection.

HIV infection is one component related with exfoliative cheilitis. The immunodeficiency acquired by the patient is potential for numerous skin problems

Poor oral hygiene is another considered to cause exfoliative cheilitis. Poor oral hygiene can give rise o pathogen such as bacteria, fungi, and virus to proliferate, ending in harmful effects in the body including the abnormal peeling off the lips.

Nutritional deficiency is believed to be the main cause of exfoliative cheilitis. The deficiency can either by primary or secondary and both of which results in defective formation of keratin. Primary deficiency is the result of a long term nutrient deficiency in the diet while the secondary defense is the result of malabsorption in the small intestine.
Depressed immunity is one the main causes of exfoliative cheilitis where the Keratin is mistakenly identified as a foreign body. The immune system will mistakenly ward off the keratin thereby resulting inflammation while the body is eliminating the inflamed tissue from the body thereby the resulting the lip peeling.
Antibiotic therapy is another possible cause of exfoliative cheilitis particular when in use for a long term. Explorative cheilitis occurs as a result of a microbial imbalance in the body.

Allergy is considered a possible cause of exfoliative cheilitis although the seldom occurs.

Exfoliative cheilitis can be similar to other skin conditions that are necessary to isolate exfoliative cheilitis from other skin condition before treatment. Exfoliative cheilitis is ordinarily unresponsive to treatment, and since it is a chronic condition, it may require a prolonged treatment program and careful management to prevent the condition from happening again.

Exfoliative cheilitis has no particular treatment, but there are various methods which can help in relieving the symptoms.

  • Application of lip balm at least twice a day or when needed to Practice good oral hygiene
    keep the lips moist.
  • Inclusion of organic fruits and negatives in the diet
  • Take vitamins and other supplements to replace nutrients that are lacking in the body.
  • A cold compress with water is advantageous for the treatment of exfoliative cheilitis
  • Drink plenty of water to keep the body well hydrated and keep the lips moist as well

The purpose of treatment is also directed towards the underlying condition that contributed to the occurrence of exfoliative cheilitis. It is important first to discover the underlying condition before the treatment.

Treatment for exfoliative cheilitis can include the following:

  • Topical steroids are helpful for controlling many types of skin conditions such as dermatitis eczema and exfoliative cheilitis
  • Antifungal creams are designed to cure fungal infections such as for the overgrowth of Canadia yeast in the case of exfoliative cheilitis
  • Antibiotics
  • Systemic steroid
  • Sunscreen
  • Keratolytic lip balm

Exfoliative cheilitis Surgery
Exfoliative cheilitis has no definite cure and usually recur after an extended period. In some cases, a patient may favor undergoing surgery for cosmetic purposes. The lesion in exfoliative cheilitis is quite unappealing that patients may want to have the appearance of their lips changed.
Laser treatment is beneficial is helpful in removing the diseased cell giving the lips a good cosmetic result without the scar.
Other surgical methods that can be done for exfoliative cheilitis include the following:

  • Cryosurgery
  • Electrocautery
  • Scalpel vermilionectomy
  • Photodynamic therapy

Exfoliative cheilitis has no specific cure, but new research and studies observed Calendula Officinalis be effective in treating exfoliative cheilitis. Calendula Officinalis is usually known as common marigold or pot marigold. It is common in warm temperate parts of the world. The extract of this plant is considered to have an anti-inflammatory, anti -genotoxic and anti-viral properties Calendula officials as a core for exfoliative cheilitis comes in ointment 10%.

Topical Tacrolimus is another claim for successful therapy of exfoliative cheilitis. This drug has macrolide lactones components and is administered orally or may be applied topically. This medicine can also be injected into the patient and is found to be successful in treating inflammatory skin conditions.

Is Exfoliative CHelitis Contagious?
Exfoliative cheilitis is not a contagious skin disorder. It cannot be contracted by healthy individuals nor can be spread via air, droplets, and close or direct contact with an afflicted individual. Exfoliative cheilitis is not a life-threatening condition but can create significant discomfort and may cause discomfort due to its unsightly appearance.


















Health Life Media Team