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Angular cheilitis typically starts with a red dry patch on the corners of the mouth. It can be on one or both sides, with a dry, scaly appearance, according to the Cleveland Clinic.
Counterintuitively, constant licking of the lips causes drying and irritation, and eventually the mucosa splits or cracks. [2] The lips have a greater tendency to dry out in cold, dry weather. [citation needed] Digestive enzymes present in the saliva may also irritate the lips, and the evaporation of the water in saliva saps moisture from them. [8]
Sometimes the lips, the gums and the tongue can simultaneously be involved, and some authors have described this triad as a syndrome ("plasma-cell gingivostomatitis"). [3] The mucous membranes of the genitals can also be involved by a similar condition, termed " plasma cell balanitis " [ 2 ] or " plasma cell vulvitis ".
The term "cheilocandidiasis" describes exfoliative (flaking) lesions of the lips and the skin around the lips, and is caused by a superficial candidal infection due to chronic lip licking. [14] Less severe cases occur during cold, dry weather, and is a form of chapped lips. Individuals may lick their lips in an attempt to provide a temporary ...
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With months and years of sun exposure, the lesion becomes chronic and may be grey-white in color and appear dry, scaly and wrinkled. [2] There is thickening whitish discoloration of the lip at the border of the lip and skin. There is also a loss of the usually sharp border between the red of the lip and the normal skin, known as the vermillion ...
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Cold, dry, or hot wind and weather environments can harden and roughen up the red part of the lips, causing people to develop habitual lip licking to pick at the scales and flakiness that form. [1] [10] Lip chewing, thumb sucking, or excessive drooling can also initiate the inflammatory response. [20] [21]