Ointment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. A Series of 13 Patients From Sao Paulo, Brazil
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Citações na Scopus
6
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
SAGE PUBLICATIONS INC
Autores
Citação
JOURNAL OF CUTANEOUS MEDICINE AND SURGERY, v.23, n.3, p.277-281, 2019
Resumo
Background: 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.
Palavras-chave
cheilitis, dermatitis artefacta, exfoliative cheilitis, factitial cheilitis, psychodermatology
Referências
- Almazrooa SA, 2013, OR SURG OR MED OR PA, V116, pE485, DOI 10.1016/j.oooo.2013.08.016
- American Psychiatric Association, 2013, DIAGN STAT MAN MENT, DOI [10. 1176/appi. books. 9780890425596, DOI 10.1176/APPI.B00KS.9780890425596, 10.1176/appi.books.9780890425596]
- Brown GE, 2015, ADV PSYCHOSOM MED, V34, P123, DOI 10.1159/000369090
- Calobrisi SD, 1999, PEDIATR DERMATOL, V16, P12, DOI 10.1046/j.1525-1470.1999.99003.x
- Leyland Leila, 2004, Dent Update, V31, P524
- Rogers RS, 1997, SEMIN CUTAN MED SURG, V16, P328, DOI 10.1016/S1085-5629(97)80025-9
- Wong Jillian W, 2013, Dermatol Online J, V19, P18169