Tuesday, January 27, 2015
Severe Recurrent Cheilitis
Presented by Nyoman Sukano
Singaraja, Bali Indonesia
A 20 year-old student complains of recurrent peeling of the lips for more than a year. It usually begins on the upper lip then involves the lower lip. Then the cycle repeats. The entire process takes about 3 weeks. He is known to have Hemophilia A and on regular follow up for factor VIII. He has no known drug allergy. Denies any wetting of lips or lip smacking. Uses a moisturizing tooth paste.
Examination was unremarkable except for peeling of the lower and upper lip as a single friable sheet. The oral cavity was unremarkable. His genitalia and rest of cutaneous exam was normal.
Lab: Patch test was done but was negative (results may not be very reliable as he was on oral prednisolone 10mg daily during the test; but did not let us know). No other test done.
Treatment: We have tried Vaseline and mometasone ointment but they did not work.
Diagnosis: Is this cheilitis?
Thanks for your thoughts.