Hailitis: Symptoms and Treatment

Halit is considered a fairly common disease, but not all patients know how much it can be dangerous, why they prefer to fight this disease on their own. A significant lesion of the lips develops against a background of a large number of predisposing factors. It follows that such an ailment can be both an independent and a clinical sign of other disorders.



The disease has a rather specific symptomatology, which can not be ignored. Symptoms and treatment may vary slightly depending on the form of the disease.

Conservative methods prevail in the therapy of this disease.

Regardless of the form of the disease in the international classification of diseases, it has only one meaning — the code for the ICD 10 — K13.0.

Etiology

Haylith on the lips belongs to the category of ailments that have a polyethological nature, which means that several factors can contribute to its formation.

The reasons for cheilitis are:


  • increased susceptibility of the lips to different stimuli, which are based on chemical sources
  • abnormalities of the structure or inflammation of the salivary glands
  • dermatitis or eczema;
  • Insufficient or increased content of B vitamins
  • irrational nutrition, which consists of consuming large amounts of fatty and spicy food, as well as sour and hot food
  • Adverse environmental conditions
  • the constant use of low-quality cosmetics
  • disruption of the functioning of the endocrine system or in immunodeficiency states of a congenital or acquired character
  • the passage of cancer treatment
  • development of complications of pathologies from the nervous system or digestive organs

Classification

Depending on predisposing factors of formation, the disease happens:


  1. primary — develops on its own and is not accompanied by any other ailment
  2. secondary — is a consequence or part of a clinical picture of another pathology.

The primary category of this disease is:


  • glandular cheilitis — such a lesion of the lips is caused by an increase in the volume of salivary glands and their subsequent infection
  • exfoliative cheilitis — only the red lip rim is involved in the pathological process
  • allergic cheilitis — based on the name it is clear that the main cause is a delayed allergic reaction
  • meteorological cheilitis — its occurrence is caused by increased sensitivity to environmental conditions. Actinic cheilitis (second name of the disease) is divided into dry and exudative.

Secondary, or symptomatic, varieties of a similar pathology of the lips are:


  1. Atopic cheilitis — is considered one of the manifestations of atopic dermatitis
  2. eczematous cheilitis is a disease caused by eczema, against which the inflammation of the upper layers of the skin occurs,
  3. candidal cheilitis — yeast-like fungi are the main pathogen
  4. hypovitaminous cheilitis — occurs due to a lack of vitamins of group B in the body
  5. angular cheilitis — is a consequence of the pathological effects of pathogens such as streptococci

A similar classification of lip disease applies to both adults and children.

Symptoms

Since there is a wide variety of forms of cheilitis, it is natural that each of them will have characteristic clinical manifestations.

Glandular cheilitis is manifested by the following symptoms:


  • dry lips
  • the formation of cracks and erosion — often such signs arise because of prolonged absence of treatment;
  • moderate pain syndrome — occurs against the background of the previous manifestation.

Symptoms of exfoliative cheilitis:





  1. flake formation
  2. feeling dry and burning;
  3. the formation of crusts that prevent the patient from eating and talking;
  4. Significant swelling of the affected area.

Allergic cheilitis is characterized by such signs:


  • redness and swelling of the lips
  • pronounced burning and itching
  • the formation of bubbles, ulcers and erosions.

For meteorological cheilitis are peculiar:


  1. burning lips
  2. the appearance of erosion;
  3. erythema of the lips — observed with dry form of actinic cheilitis
  4. the appearance of small scales that have a grayish white hue.

Clinical manifestation of atopic cheilitis:


  • the spread of the inflammatory process to healthy areas of the skin;
  • the appearance of snails in the corners of the mouth
  • formation of cracks.

Symptoms of eczematous cheilitis:


  1. severe itching and burning;
  2. the swelling of each lip
  3. hyperemia
  4. formation of nodules and scales.

Symptomatic of angular cheilitis:


  • the formation of bubbles in the corners of the mouth
  • formation of slit-like erosion
  • hemorrhagic bleeding, which occurs against the background of removal of purulent-bloody crust
  • soreness, which increases during the movement of the lips, which makes patients often refuse to eat and can not speak clearly.

Candidiasis cheilitis differs from angular in that there is no formation of crusts with this kind of disease.

Hypovitaminosis cheilitis on the lips is expressed in:


  1. the formation of cracks on the lips
  2. erosion bleeding;
  3. increasing the volume of the language;
  4. the appearance of dental prints in the language
  5. swelling of the oral mucosa

Diagnostics

The experienced dentist will be able to make the correct diagnosis during the initial examination of the patient, which includes:


  • a detailed interview of the patient for the first time of appearance and the nature of the manifestation of clinical manifestations
  • studying the medical history and history of the patient’s life — will indicate the predisposing factors of the appearance of cheilitis in children and adults
  • A thorough examination of the lips and mouth, aimed at assessing the condition of the lips and mucous layer of the mouth.

To confirm the diagnosis, it is enough to take a small piece of the affected area and its subsequent histological study.

Treatment

In order to learn how to cure cheilitis on the lips, you need to contact a dentist.

In general, the therapy of exfoliative cheilitis is aimed at:


  1. counseling the patient with a neurologist or a psychoneurologist
  2. taking sedatives or tranquilizers, as well as hormones;
  3. exposure to laser radiation or ultrasound directly to the affected areas of the lips
  4. use of hygiene lipsticks
  5. the course of vitamin therapy.

To eliminate atopic cheilitis:


  • use ointments with antipruritic and anti-inflammatory effect
  • Take antihistamines and hormonal medications inside
  • respect a sparing diet.

Treatment of glandular cheilitis consists of:


  1. electrocoagulation of hypertrophic salivary glands
  2. sanation of foci of chronic infection
  3. neutralization of dryness or wetting of the lips

Meteorological cheilitite therapy implies:


  • complete exclusion or minimization of the influence of the provoking factor
  • use of hormonal ointments, as well as creams with a high content of UV filters
  • taking vitamin complexes, in particular, B, C and PP

To eliminate Candida cheilitis, antifungal ointments and antibiotics are needed. To treat other forms of the disease, it is worth to get rid of the disease that caused it.

Therapy of cheilitis in a child and an adult can also be done with folk remedies, but only as a comprehensive treatment. The most effective ones are:


  1. oak bark and sage
  2. Calendula and aloe juice

Possible complications

Any kind of cheilitis on the lips can lead to the following consequences:


  • chronic inflammation;
  • violation of speech function;
  • difficulties during meals
  • impairment of general well-being
  • psychological disorders.

Prevention and Forecast

In order to avoid problems with such an ailment, it is necessary: ​​


  1. respect the rules of personal hygiene
  2. completely abandon the addictions;
  3. correctly and fully eat;
  4. use only quality cosmetics
  5. eliminate pathologies that can cause cheilitis in a timely manner
  6. undergo a full medical examination several times a year;
  7. visit the dentist every three months.




Timely and complex treatment of cheilitis on the lips has a favorable prognosis.