Lip Disorders Flashcards
Name disorders of the lip
- Cleft lip
- lip fissures 
- Allergic chelitis
- actinic chelitis
- exfoliative chelitis
- Swelling
- Angular chelitis
- Perioral dermatitis
- lick eczema
- Chelio candidiosis
What are the causes of lip swelling
- Angioedema
- oedema
- Crohn’s disease
- mucocele
- fibroma
- squamous cell carcinoma
- oral facial granulomatosis
- Keratochanthoma
- Salivary gland tumours
- Nasolabial cysts
- Mesenchymal tumours
What is angular  chelitis
Multifactorial condition with the number of local and systemic predisposing factors
What are the causes of angular chelitis
- Unsatisfactory dentures particularly those with decreased vertical dimension
- secondary infections with C albicans or S aureus
- systemic conditions or deficiency
 what’s a systemic diseases or deficiencies can cause angular  chelitis
- Anaemia
- iron, B12 or folate deficiency
- OFG
- HIV infection
- diabetes mellitus
- sjoregens syndrome
- Infection
What is the antimicribial therapy for angular chelitis with candida isolated
- Intraoral nystatin or amphoteracin
- Angles nystatin ointment
What is the antimicrobial therapy for angular chelitis S aureus isolated
- Angles fusidic acid cream
- anterior nares mupirocin or fusidic acid cream
What is the antibiotic therapy for angular chelitis mixed infection
Miconazole gel or cream
How do you confirm the diagnosis of Angular  chelitis
Rapid response to local steroid application 1% hydrocortisone
How do you treat swelling of the lips
- Antihistamines
- If anaphylaxis occurs when adrenaline, anti-histamines, steroids
Lip fissure is associated with which diseases
- OFG
- down syndrome
- angular chelitis
- Secondary to S. aureus infection 
How do you manage lip fissures
- use of antibiotics to treat infection
- steroids
- can be removed with surgery but reoccurrence is common
What is the most common site for a lip fissure
Midline centre of lower lip
What are the causes of allergic  chelitis
- Lipstick
- ointment
- toothpaste
- food
- moisturizer
How do you treat allergic  chelitis
- Eliminate sensitizing substance
- topical steroid for temporary relief
How do you diagnose allergic  chelitis
patch testing
What is the name of the condition in which there is long exposure to sunlight which leads to erythema of the lips, crusty and Induration at the Vermillion border in fibrotic reaction of connective tissue
Actinic chelitis or. solar keratosis
What is the investigation for actinic chelitis
Biopsy
What is the treatment for actinic chelitis
- Lip shave operation
- laser treatment
- chemical exfoliants
What is exfoliative  chelitis
Condition characterized by production of excessive amounts of keratin/hyper parakeratosis
What is the cause of exfoliative  chelitis
No specific cause but is associated with stress
What is the treatment for exfoliative chelitis
- Resolves spontaneously as no response to any treatment
- anti-depression show some degree of success
What are the causes of perioral dermatitis 
- Contact allergy
- steroid face creams
Patient suffering from peri oral dermatitis with papules can benefit from what type of antimicrobial therapy
Low-dose regime of tetracycline
What is the treatment of perioral dermatologist
- Low potency steroid
- low-dose tetracycline
What is lick eczema and how do you treat it
a condition, often with children, characterized by sharply delineated zones of irritability and scaly skin around the mouth. It is due to the licking of the lips. Treated by stopping the habit or using a removable appliance with sharp edges to prevent tongue action
What is the management of cheilocandidiasis
- Antifungal medication topical or systemic 
