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Introduction The term cheilitis indicates inflammation of the lip and includes many types, i.e. angular, contact, exfoliative, actinic, glandular, granulomatous, plasma cell cheilitis, simplex, etc. In practice, it is difficult to define readily the precise type of cheilitis, thus proper diagnostic procedures are necessary to determine the exact disease based on its characteristics. Methods According to our recently published article and clinical practice, we suggest classification based on primary differences in the duration and etiology of individual groups of cheilitis. We found that the most crucial step for a diagnosis is getting a detailed medical history of the patient with all possible information about potential mitigating factors. Results Mostly reversible- Cheilitis simplex, Angular/infective cheilitis, Contact/eczematous cheilitis, Exfoliative cheilitis, Drug related cheilitis. Mostly persistent- Actinic cheilitis, Granulomatous cheilitis, Glandular cheilitis, Plasma cell cheilitis In association with dermatoses and systemic diseases (common diseases)- Lupus erythematosus, Lichen planus, Angioedema, Pemphigoid/pemphigus, Xerostomia, Erythema multiforme, Crohn’s disease, Sarcoidosis, etc… Disscusion/Conclusion Since clear classification has not yet been established, there are no definitive recommendations for diagnosing all different types of cheilitis. Apart from that, cheilitis is also a disease that requires a multidisciplinary approach, which additionally complicates adoption of a classification system. |
