265:
215:. Irritant contact dermatitis, under which lip-licker's dermatitis is classified, has been found to be most prevalent in caterers, furniture industry employees, hospital staff, hairdressers, industry workers in the chemical industry, dry cleaners, metal workers, and florists. This is due to the fact that they are all exposed to weak irritants over a long period of time. The most common irritants include alcohol, xylene, turpentine, ketones, metalworking fluids, sodium lauryl sulfate, alkalis, and acids.
187:
37:
167:
so creating a standard classification and diagnostic procedure is difficult. Since this disease is so broad, it is also best practice to have a multidisciplinary approach to it to rule out the possibility of other diseases that may present as irritant contact cheilitis. The results are usually reproducible but sometimes lack clinical manifestation.
282:
and perioral dermatitis which are characterized by papules in the perioral area and sparing of the vermillion border, and worsened by topical steroids. Allergic contact dermatitis can be differentiated from irritant contact dermatitis by the presence of antigen specific T cells since allergic contact
226:
Lip licker's dermatitis mainly occurs in children, and they often are not aware that their lip-licking causes dermatitis and it may involve psychological aspects. In order to bring awareness, it is best to not directly point out their lips, but to take an indirect approach and ask an open question.
166:
is caused by an exogenous factor rather than an endogenous one. Irritant contact cheilitis can be separated into different reaction types, so it is an umbrella term and further evaluations are usually needed to properly classify the presenting condition. Cheilitis can have many causes and subtypes,
319:
If no relief is found through these initial treatment methods or symptoms have worsened, allergy patch tests should be considered in order to explore the possibility that allergy cheilitis is the cause, in this case avoidance of the allergen would be the best course of treatment. Many people have
291:
Differentiating between acute or chronic irritant dermatitis can also help in diagnosis and treatment. Chronic dermatitis is the more common form usually defined as more than 6 weeks of skin irritation. This is usually caused by regardless of moisturizer effectiveness, there is still frequent and
287:
can be used to differentiate allergic contact dermatitis from irritant contact dermatitis and to identify causative allergens if dermatitis has allergic nature. This is done by inducing a small eczematous reaction by administering allergens under occlusions on intact skin. The T.R.U.E (Thin-layer
295:
Lip Licker's dermatitis can also be confused with
Angular cheilitis which can present as similar symptoms around the mouth as erythema or ulcerations. The difference is, lip licker's dermatitis often spares the corner of the mouth while Angular cheilitis results in crusting at the corners of the
252:
Repeated licking removes the oily part on the surface of lips that prevents moisture loss. It results in a cycle of wetting and drying, which causes the redness, fissuring, scale, cracking of the lips, especially if lip biting is present. Excessive dryness to the protective oily part of the lip
177:
Irritant contact cheilitis is a subtype of contact dermatitis. Contact dermatitis has many different subtypes that are caused by different irritants or exposures and have different immunological mechanisms. Since contact dermatitis is so broad, different subtypes can manifest simultaneously and
315:
In the presence of severe irritation and dryness where cracks are present, the use of a thick emollient such as petroleum jelly can provide some relief and protection. Sometimes, unlike in perioral dermatitis, topical steroids may be used for a few days only for acute inflammation and if other
304:
Prevention is an important component to the management of lip licker dermatitis. Breaking the cycle (dryness, then licking, followed by more dryness) is key to treatment, many people are unaware of the number of times they lick their lips every day. Some daily steps to take that will make a
253:
surface causes the skin barrier to be damaged with the increased skin permeability. As the response of the innate immune system, proinflammatory cytokines are released facing the damage to the lip. Digestive enzymes also causes additional inflammation to the exposed layers of the skin.
242:
Wind instrument players may also experience lip licker's dermatitis. However, it is important to differentiate this from allergic contact dermatitis which is also common in musicians who have a reaction to the ingredients common in varnishes for their instruments.
283:
dermatitis is a response of delayed type IV hypersensitivity mediated by T cells. Additionally, people with irritant contact dermatitis will present with a burning sensation rather than an itching sensation, which is different from allergic contact dermatitis.
198:
Observation of the person's habitual behavior can also be a sign and symptom of lip licker's dermatitis. If repetitive lip licking or sucking of the lips is reported by the person or caregiver, this can support a diagnosis of dermatitis caused by lip licking.
323:
Lip licking behavior may have been caused by psychological disorders, so it is emphasized to identify the psychological nature of lip licking behavior. Cooperation of psychiatrists and dermatologists is recommended in treatment of lip licker's dermatitis.
305:
difference include adequate hydration and moisturizing lips with an ultraviolet-protecting lip balm. Common ingredients found in lip balm such as menthol, eucalyptus, cinnamon, and peppermint oil should be avoided if found to cause irritation.
194:
Redness around the lips in circumoral distribution with dryness and scale is typical. Chapping may also occur, especially in cold weather. If symptoms worsen due to persistent licking, cracked lips can occur usually on the lower lip.
146:, while perioral dermatitis is worsened by topical steroids. It is important to identify the cause of the inflammation, whether it is due to lip licking or a more complex cause, in order to successfully treat and alleviate symptoms.
320:
been found to have hypersensitivity to dental products, ingredients in lip balms, and cosmetic problems in which case identifying the factors that are aggravating the skin and discontinuing their use can resolve the issue.
120:. The rash may extend as far as the tongue can reach and usually does not occur at the corners of the mouth. It commonly occurs during winter months but some people can have it year-round if lip licking is a chronic habit.
239:, causing people to develop habitual lip licking to pick at the scales and flakiness that form. Lip chewing, thumb sucking, or excessive drooling can also initiate the inflammatory response.
403:
Gray, Mikel; Black, Joyce M.; Baharestani, Mona M.; Bliss, Donna Z.; Colwell, Janice C.; Goldberg, Margaret; Kennedy-Evans, Karen L.; Logan, Susan; Ratliff, Catherine R. (2011).
312:
can improve the rash and any flaking or peeling that can start occurring when the lips are irritated. However, complete resolution will not occur until the lip licking stops.
178:
presenting symptoms can overlap. Specific testing and evaluations using patch testing and allergy tests are best used to determine the irritant causing contact dermatitis.
288:
Rapid-Use
Epicutaneous) Test is an easy to use and convenient product available with 35 allergens suspended in gels and is commonly used by dermatologists and allergists.
920:
Scheinman, Pamela L.; Vocanson, Marc; Thyssen, Jacob P.; Johansen, Jeanne Duus; Nixon, Rosemary L.; Dear, Kate; Botto, Nina C.; Morot, Johanna; Goldminz, Ari M. (2021).
249:
Persistent and continuous breathing from the mouth can cause dry lips and result in the temptation to repeatedly lick the lips with the aim to keep them moist.
104:
is a type of skin inflammation around the lips due to damage by saliva from repetitive lip licking and is classified as a subtype of irritant contact
835:
Lisby, Steen; Baadsgaard, Ole (2006). "Mechanisms of
Irritant Contact Dermatitis". In Peter J. Frosch; Torkil Menné; J.-P. Lepoittevin (eds.).
211:. Among people with lip-licker's dermatitis, the most common risk factor is pre-existing conditions of the constitution of the lips, such as
1530:
207:
In the context of the broad diagnosis of eczematous cheilitis, lip-licker's dermatitis is not as common as endogenous cheilitis and
278:
The diagnosis of lip licker's dermatitis is from taking history and inspection of the rash. It is important to distinguish it from
154:
and sometimes special approaches need to be considered especially if there is a psychological aspect to the lip licking behavior.
1023:
135:
presents similar signs and symptoms that can be differentiated from lip licker's dermatitis with an allergy patch skin test.
1359:
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Habitual lip-licking has been reported to be common in mentally disabled persons, children, and the elderly population.
1766:
1825:
1332:
512:
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Compulsive licking of lips causing lip licker's dermatitis is also seen as a psychological disorder.
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256:
People with the high innate tendency to eczema are susceptible to irritant contact dermatitis.
2001:
67:
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1009:
496:
1190:
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653:
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8:
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57:
30:
Irritant contact cheilitis, perioral irritant contact dermatitis, perioral dermatitis
1889:
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1144:
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1395:
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235:
Cold, dry, or hot wind and weather environments can harden and roughen up the
186:
1990:
1968:
1913:
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methods were found unsuccessful. This is under supervision of a physician.
1944:
1842:
1720:
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404:
36:
1976:
1921:
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1874:
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90:
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Lip licker's dermatitis from a child repeatedly licking their lips
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536:
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123:Lip licker's dermatitis differs from
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532:
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341:
339:
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127:, which spares the
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99:
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62:Based on symptoms
58:Diagnostic method
16:Medical condition
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457:"9. Oral Cavity"
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144:topical steroids
142:, and sometimes
129:vermilion border
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94:Topical steroid
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1900:(6): 248–257.
1880:
1853:(3): 303–307.
1833:
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1731:(3): 116–121.
1711:
1676:(4): 200–210.
1656:
1637:(6): 289–295.
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1445:(1): 116–124.
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1083:
1056:(4): 173–177.
1031:
1024:
1018:. p. 51.
1000:
967:
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860:
845:
827:
790:(2): 342–351.
770:
734:
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549:(2): 318–328.
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415:(3): 233–241.
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358:(5): 377–380.
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273:Balsam of Peru
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25:
20:
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1893:
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1816:
1809:
1798:. Retrieved
1794:
1785:
1774:. Retrieved
1770:
1761:
1728:
1724:
1714:
1673:
1669:
1659:
1634:
1630:
1620:
1588:(2): 65–72.
1585:
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1442:
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1428:
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1314:
1292:(2): 52–55.
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836:
830:
787:
783:
773:
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750:
727:, retrieved
722:
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629:. Retrieved
624:
615:
603:. Retrieved
599:
589:
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137:
122:
101:
100:
1817:Dermatology
1771:www.aad.org
1257:Dermatology
1149:Dermatology
747:"Cheilitis"
665:: 333–337.
625:icd.who.int
27:Other names
1991:Categories
1894:Dermatitis
1800:2021-08-02
1776:2021-08-02
1238:2021-08-04
1225:StatPearls
981:StatPearls
751:StatPearls
729:2021-07-26
328:References
310:emollients
203:Prevalence
140:emollients
83:Medication
1969:2162-5220
1930:205581481
1914:1710-3568
1867:1952-4013
1745:2162-5220
1690:1365-4632
1643:0011-4162
1604:1600-0536
1555:1167-1122
1508:1600-0536
1459:0738-081X
1404:1559-0267
1298:1764-1489
1169:1018-8665
1112:0026-6620
1070:1424-4616
1016:CRC Press
994:4 January
962:235205966
946:2056-676X
932:(1): 38.
889:0008-350X
855:262692413
804:0353-9466
681:1176-6328
631:4 January
605:4 January
563:0353-9466
429:1528-3976
372:2352-6475
300:Treatment
260:Diagnosis
106:cheilitis
88:Emollient
1977:28291073
1922:23169206
1875:23568570
1753:25984687
1706:73385557
1651:21838086
1612:16930228
1563:19447733
1467:24314385
1420:52931782
1412:30293200
1306:12674039
1233:29083649
1130:26455061
1078:71993139
989:30247843
954:34045488
907:12113191
822:30431729
764:July 27,
759:29262127
699:25709456
581:33456120
505:Elsevier
437:21490547
390:33898702
148:Children
114:chapping
91:Lip Balm
1698:4266894
1516:8706391
1177:8573936
1121:6170075
898:2214070
813:6531998
690:4332316
572:7808231
381:8060673
110:redness
1975:
1967:
1928:
1920:
1912:
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1865:
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569:
561:
511:
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435:
427:
388:
378:
370:
231:Causes
152:adults
49:Causes
1926:S2CID
1702:S2CID
1631:Cutis
1416:S2CID
1074:S2CID
958:S2CID
1973:PMID
1965:ISSN
1918:PMID
1910:ISSN
1871:PMID
1863:ISSN
1822:ISBN
1749:PMID
1741:ISSN
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1229:PMID
1200:ISBN
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1165:ISSN
1126:PMID
1108:ISSN
1066:ISSN
1020:ISBN
996:2020
985:PMID
950:PMID
942:ISSN
903:PMID
885:ISSN
851:OCLC
841:ISBN
818:PMID
800:ISSN
766:2021
755:PMID
695:PMID
677:ISSN
633:2020
607:2020
577:PMID
559:ISSN
509:ISBN
469:ISBN
433:PMID
425:ISSN
386:PMID
368:ISSN
118:lips
1957:doi
1902:doi
1855:doi
1733:doi
1678:doi
1590:doi
1543:doi
1494:doi
1447:doi
1392:doi
1157:doi
1153:191
1116:PMC
1104:112
1058:doi
934:doi
893:PMC
808:PMC
792:doi
685:PMC
667:doi
567:PMC
551:doi
417:doi
376:PMC
360:doi
1993::
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