Women aged 20-40 are particularly susceptible to a disease that affects the red lip border. Until now, it has not been established exactly why the exfoliative cheilitis develops. There are theories about the endocrine and hereditary nature of its occurrence. Also, experts suggest that the disease is provoked by psychogenic factors.
Dry form of exfoliative cheilitis
The most common type of described pathology is accompanied by the following symptoms:
- dry lips;
- Stable reddening of the skin along the red border;
- formation of dry and translucent brownish or gray scales on the lips;
- permanent peeling of the skin;
- presence under flakes of a hyperemic surface without ulcers and erosions;
- repeated occurrence of crusts after their removal within 5-6 days.
Exudative form of exfoliative cheilitis
Over time, a dry variety of the disease can be transformed into an exudative type, which is characterized by such signs:
- puffiness and soreness of the lips, sometimes - the inability to close them;
- reddening of the skin from the red border to the middle of the mouth;
- isolation of dense exudate, impregnating scales;
- intensive growth of massive crusts, sometimes they hang on the chin, like an apron.
How to treat exfoliative cheilitis?
This disease is extremely difficult to treat and is not prone to remission, can take decades without improvement.
The approach to treating the defeat of the lips is always complex.
With dry form of cheilitis, it is first necessary to normalize the psychoemotional state of a person, for which:
1. Tranquilizers:
- Sibazon;
- Relanium;
- Seduxen;
- Phenazepam ;
- Trioxazine;
- Elenium;
- Chlosepide.
2. Neuroleptics:
- Melleril;
- Thioridazine;
- Sonapaks.
3. Antidepressants:
- Melipramine;
- Amitriptyline.
Locally, it is recommended to apply greasy lipstick, spermacet cream or Delight.
For the treatment of exudative form of cheilitis, such drugs are prescribed:
1. Blockers of peripheral cholinergic systems, for example, Bellaspon.
2. Vadrenoblokatory:
- Obsidan;
- Anaprilin.
3. Means that increase the reactivity of the body - Pyronegal.
Additionally, sessions are conducted with exposure to Border rays and reflexotherapy . A positive effect is produced by regular phonophoresis with hormonal ointments to treat exfoliative cheilitis in exudative form.