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Lip licker's dermatitis is a type of skin inflammation around the lips due to damage by saliva from repetitive lip licking and is classified as a subtype of irritant contact cheilitis. [ 1 ] [ 2 ] The resulting scaling, redness , chapping , and crusting makes a well-defined ring around the lips .
Chapped lips (also known as cheilitis simplex [5] or common cheilitis) [6] is characterized by the cracking, fissuring, and peeling of the skin of the lips, and is one of the most common types of cheilitis. [5] [7] While both lips may be affected, the lower lip is the most common site. [7]
As a consequence, the margin of the lips shows a transition between the thicker and thinner skin, represented by the vermilion border. It therefore has the appearance of a sharp line between the coloured edge of the lip and adjoining skin. [4] It has been described as a pale, white rolled border and also as being a red line. [1] [5]
Initially, the corners of the mouth develop a gray-white thickening and adjacent erythema (redness). [2] Later, the usual appearance is a roughly triangular area of erythema, edema (swelling) and breakdown of skin at either corner of the mouth. [2] [4] The mucosa of the lip may become fissured (cracked), crusted, ulcerated or atrophied.
White roll is the white line that borders the top of the upper lip. [1] [2] It is an adnexal mass of specialized glands and fat. White roll occurs naturally for nearly everyone, although it can be not white and less visible for dark skinned individuals. Well defined white roll indicates youthfulness and is considered aesthetically pleasing. [3]
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Fordyce spots on scrotum Fordyce spots on lips. On the shaft of the penis, Fordyce spots are more visible when the skin is stretched, and may only be noticeable during an erection. [8] The spots can also appear on the skin of the scrotum. [8] Oral Fordyce granules appear as rice-like granules, white or yellow-white in color.
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 ...