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舔唇性唇炎及其与大脑的联系。

Lip-Lick Cheilitis and Its Connection to the Brain.

作者信息

Stone Riley J, Labert Gianna M, Norman Robert A

机构信息

Anthropology, University of South Florida, Tampa, USA.

Allied Health, University of Tampa, Tampa, USA.

出版信息

Cureus. 2024 Jul 11;16(7):e64312. doi: 10.7759/cureus.64312. eCollection 2024 Jul.

DOI:10.7759/cureus.64312
PMID:39130820
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11316855/
Abstract

An eight-year-old male who habitually licked his lips and presented with dry, flaky, and red skin bordering the outside of his lips was diagnosed with lip-lick cheilitis. This condition is exacerbated or, at times, caused by chronic lip-licking, leading to irritation and discomfort. Treatment included tacrolimus 0.03% topical ointment, which he was instructed to apply twice daily. He was also advised to stop licking his lips, maintain proper hydration, and use a stress ball when tempted to lick the irritated region. Following these interventions, there was a clear reduction in both irritation and redness. This condition frequently reflects psychocutaneous interactions, commonly observed in patients with underlying psychological stress, displaying the connection between the brain and skin.

摘要

一名八岁男性习惯性舔嘴唇,嘴唇外侧边缘出现皮肤干燥、起皮和发红的症状,被诊断为舔唇性唇炎。这种情况会因长期舔唇而加重,有时甚至由其引发,导致刺激和不适。治疗方法包括使用0.03%他克莫司外用软膏,医嘱每日涂抹两次。他还被告知停止舔唇,保持适当的水分摄入,当想要舔舐受刺激区域时使用减压球。经过这些干预措施后,刺激和发红症状明显减轻。这种情况常常反映了心理与皮肤的相互作用,在有潜在心理压力的患者中较为常见,显示出大脑与皮肤之间的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/0bb8157089e7/cureus-0016-00000064312-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/851156b06dec/cureus-0016-00000064312-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/930c201bae9a/cureus-0016-00000064312-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/0bb8157089e7/cureus-0016-00000064312-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/851156b06dec/cureus-0016-00000064312-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/930c201bae9a/cureus-0016-00000064312-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1208/11316855/0bb8157089e7/cureus-0016-00000064312-i03.jpg

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本文引用的文献

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A comparative randomized clinical trial evaluating the efficacy and safety of tacrolimus versus hydrocortisone as a topical treatment of atopic dermatitis in children.一项比较随机临床试验,评估他克莫司与氢化可的松作为儿童特应性皮炎局部治疗药物的疗效和安全性。
Front Pharmacol. 2023 Sep 20;14:1202325. doi: 10.3389/fphar.2023.1202325. eCollection 2023.
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Cognitive behavior therapy as dermatological treatment: a narrative review.认知行为疗法作为皮肤病治疗方法:一项叙述性综述。
Int J Womens Dermatol. 2022 Dec 23;8(4):e068. doi: 10.1097/JW9.0000000000000068. eCollection 2022 Dec.
3
Art of prevention: Practical interventions in lip-licking dermatitis.
预防的艺术:唇炎的实际干预措施。
Int J Womens Dermatol. 2020 Jun 5;6(5):377-380. doi: 10.1016/j.ijwd.2020.06.001. eCollection 2020 Dec.
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Isolated lip dermatitis (atopic cheilitis), successfully treated with topical tacrolimus 0.03.孤立性唇皮炎(特应性唇炎),外用他克莫司 0.03 治疗有效。
Med Oral Patol Oral Cir Bucal. 2021 May 1;26(3):e357-e360. doi: 10.4317/medoral.24230.
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Differential Diagnosis of Cheilitis - How to Classify Cheilitis?唇炎的鉴别诊断——如何对唇炎进行分类?
Acta Clin Croat. 2018 Jun;57(2):342-351. doi: 10.20471/acc.2018.57.02.16.
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Exfoliative Cheilitis as a Manifestation of Factitial Cheilitis.剥脱性唇炎作为人工性唇炎的一种表现形式。
Cureus. 2018 May 2;10(5):e2565. doi: 10.7759/cureus.2565.
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Diseases of the lips.唇部疾病。
Clin Dermatol. 2017 Sep-Oct;35(5):e1-e14. doi: 10.1016/j.clindermatol.2017.11.003. Epub 2017 Nov 16.
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Skin Therapy Lett. 2004 Nov;9(9):1-5.