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慢性剥脱性唇炎的罕见表现:病例报告

A Rare Presentation of Chronic Exfoliative Cheilitis: Case Report.

作者信息

Eltoureini Abdelrahman, Alharbi Hamad, Saleh Wafaa

机构信息

Oral Medicine, Periodontology, Diagnosis and Oral Radiology Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.

Department of Oral and Maxillofacial Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Clin Med Insights Case Rep. 2025 Feb 13;18:11795476251319981. doi: 10.1177/11795476251319981. eCollection 2025.

Abstract

BACKGROUND

Chronic exfoliative cheilitis is an inflammatory condition of the lips that involves exfoliation of the superficial layers of the lip with continuous peeling, ulceration, and exfoliation. Chronic exfoliative cheilitis can lead to social and psychosocial problems.

CASE PRESENTATION

A 73-year-old diabetic male presented with a lip lesion showing continuous ulceration, crusting, and peeling of the lower lip. It was a spontaneous complaint that had its onset 6 months ago and has constantly evolved. The medical history revealed controlled diabetes mellitus while the social and family histories showed no marked findings. After a careful history, clinical examination, and laboratory investigations with the exclusion of the possible etiologic factors of cheilitis, the patient was diagnosed with chronic exfoliative cheilitis with unknown etiology. Then, the patient was prescribed topical steroids, and he was advised for continuous follow-up visits.

CONCLUSION

Diagnosing chronic cheilitis is challenging and requires careful history, clinical examination, and laboratory investigation, with continuous follow-up to improve the patient's quality of life. Further research is needed to better understand and treat these cases.

摘要

背景

慢性剥脱性唇炎是一种唇部炎症性疾病,表现为唇部表层持续剥落、溃疡及脱屑。慢性剥脱性唇炎可导致社交及心理社会问题。

病例报告

一名73岁男性糖尿病患者出现唇部病变,表现为下唇持续溃疡、结痂及脱屑。这是6个月前出现的自发症状,且持续进展。病史显示糖尿病病情得到控制,社会史和家族史无明显异常。经过详细病史询问、临床检查及实验室检查,排除了唇炎的可能病因后,该患者被诊断为病因不明的慢性剥脱性唇炎。随后,给予患者局部类固醇药物治疗,并建议其持续随访。

结论

诊断慢性唇炎具有挑战性,需要详细病史询问、临床检查及实验室检查,并持续随访以改善患者生活质量。需要进一步研究以更好地理解和治疗这些病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db47/11822812/d965aa6b0e76/10.1177_11795476251319981-fig1.jpg

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