Taniguchi S, Kono T
Department of Dermatology, Osaka Railway Hospital, Japan.
Dermatology. 1998;196(2):253-5. doi: 10.1159/000017886.
We examined a 16-year-old male with persistent crusting of the lips. Biopsy showed parakeratosis, which is a normal feature, and a mild inflammatory infiltrate without fungal infection. These findings are compatible with a diagnosis of exfoliative cheilitis. Medication with anti-depressants was helpful. To date, the condition has been reported under various names: factitious cheilitis, localized crusting as an artifact, factitious lip crusting, and exfoliative cheilitis, because some cases are thought to be factitious. We suggest to call this condition 'factitious type' or 'idiopathic type' of exfoliative cheilitis, respectively, independent of the presence of a psychiatric problem.
我们检查了一名16岁嘴唇持续结痂的男性。活检显示有角化不全，这是一种正常特征，还有轻度炎症浸润，未发现真菌感染。这些发现符合剥脱性唇炎的诊断。服用抗抑郁药有帮助。迄今为止，这种病症有多种名称：人为性唇炎、局限性结痂假象、人为性唇结痂和剥脱性唇炎，因为有些病例被认为是人为造成的。我们建议分别将这种病症称为剥脱性唇炎的“人为型”或“特发型”，而不考虑是否存在精神问题。
