Ointment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. A Series of 13 Patients From Sao Paulo, Brazil

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorNICO, Marcello Menta Simonsen
dc.contributor.authorDWAN, Alexandre Jack
dc.contributor.authorLOURENCO, Silvia Vanessa
dc.date.accessioned2019-06-26T17:29:17Z
dc.date.available2019-06-26T17:29:17Z
dc.date.issued2019
dc.description.abstractBackground: The terms exfoliative cheilitis, factitial cheilitis, and morsicatio labiorum are used to describe self-inflicted lesions of the lip. Objective: Here we report and analyze clinical, pathological, and therapeutic data on 13 patients with a form of factitial cheilitis that we believe should be considered a separate entity. Results: Eight patients were male and 5 patients were female. All patients reported pain and presented with crusts consisting of dried saliva and topical medications adherent to the surface of the lips. These patients expressed great concern with their condition, and reported several previous, ineffective treatments. Simple reassurance only was not effective; saline compresses alleviated symptoms for a few patients. Most patients were lost to follow-up. Biopsies were not performed on all patients. Conclusion: This particular type of cheilitis artefacta has been previously described, but some features described herein are new and allow a specific approach: patient's behavior, the ""protrusion sign,"" and possible improvement with antidepressants. For these cases, we propose the term ointment pseudo-cheilitis because it comprises the nature of the attached material and the lack of true inflammation. Further psychiatric characterization is a logical next step in further characterizing this difficult-to-treat condition.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF CUTANEOUS MEDICINE AND SURGERY, v.23, n.3, p.277-281, 2019
dc.identifier.doi10.1177/1203475418825112
dc.identifier.eissn1615-7109
dc.identifier.issn1203-4754
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/32464
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS INCeng
dc.relation.ispartofJournal of Cutaneous Medicine and Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SAGE PUBLICATIONS INCeng
dc.subjectcheilitiseng
dc.subjectdermatitis artefactaeng
dc.subjectexfoliative cheilitiseng
dc.subjectfactitial cheilitiseng
dc.subjectpsychodermatologyeng
dc.subject.wosDermatologyeng
dc.titleOintment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. A Series of 13 Patients From Sao Paulo, Brazileng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalLOURENCO, Silvia Vanessa:Univ Sao Paulo, Dent Sch, Dept Pathol, Sao Paulo, Brazil
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcMARCELLO MENTA SIMONSEN NICO
hcfmusp.contributor.author-fmusphcALEXANDRE JACK DWAN
hcfmusp.description.beginpage277
hcfmusp.description.endpage281
hcfmusp.description.issue3
hcfmusp.description.volume23
hcfmusp.origemWOS
hcfmusp.origem.pubmed30654637
hcfmusp.origem.scopus2-s2.0-85060672006
hcfmusp.origem.wosWOS:000468985500006
hcfmusp.publisher.cityTHOUSAND OAKSeng
hcfmusp.publisher.countryUSAeng
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hcfmusp.scopus.lastupdate2024-05-10
relation.isAuthorOfPublication9a2ec109-cd27-4dd8-b807-1404eb4e3d06
relation.isAuthorOfPublication95b159d2-630c-471f-9456-ecbe1223d5b2
relation.isAuthorOfPublication.latestForDiscovery9a2ec109-cd27-4dd8-b807-1404eb4e3d06
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