Fonseca Allene, Jacob Sharon E, Sindle Allison
Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, RI, United States.
Center for Dermatoepidemiology, Veterans Affairs Medical Center, Providence, RI, United States.
Int J Womens Dermatol. 2020 Jun 5;6(5):377-380. doi: 10.1016/j.ijwd.2020.06.001. eCollection 2020 Dec.
Dry, cracked lips are a common occurrence in both cold winter months and arid climates, leading many patients to experience discomfort year-round. Lip-licking is a compensatory measure that perpetuates the condition and often leads to lip-licking dermatitis. In patients in whom this compensatory measure becomes a chronic habit, other sequelae such as irritant contact dermatitis, cheilitis simplex, angular cheilitis, factitial cheilitis, secondary infections, and exfoliative cheilitis can arise. Given the high prevalence of lip-licking and subsequent dermatitis, it is important to counsel patients on interventions to prevent associated dermatitis and treatment methods to alleviate symptoms. Practical interventions in a daily routine should include application of a bland lip balm with ultraviolet protection, adequate hydration, protection of the lips from harsh weather conditions, and recognizing when dermatitis is present and further dermatologic care is indicated.
嘴唇干裂在寒冷的冬季和干旱气候中都很常见,导致许多患者常年感到不适。舔嘴唇是一种补偿行为,会使病情持续恶化,常常导致舔唇性皮炎。对于那些这种补偿行为成为慢性习惯的患者,还可能出现其他后遗症,如刺激性接触性皮炎、单纯性唇炎、口角炎、人为性唇炎、继发性感染和剥脱性唇炎。鉴于舔唇及随后的皮炎发病率很高,向患者提供预防相关皮炎的干预措施及缓解症状的治疗方法的建议非常重要。日常的实际干预措施应包括涂抹具有紫外线防护功能的温和润唇膏、充分补水、保护嘴唇免受恶劣天气影响,以及识别何时出现皮炎并需要进一步的皮肤科护理。