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In this article we review the etiology, clinical spectrum, histology, differential diagnosis, and treatment of actinic cheilitis. Actinic cheilitis is also called solar cheilitis because it is caused by long-term sun exposure. Aldehyde dehydrogenase 1 expression in basal cell carcinoma, actinic keratosis and Bowen's disease. Dermatopathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). 37 Full PDFs related to this paper. Generally, the forms most commonly reported in the literature are angular, contact (allergic and irritant), actinic, glandular, granulomatous, exfoliative and plasma cell cheilitis. The pathological features of actinic cheilitis are variable thickening or atrophy of the lip, partial thickness epidermal dysplasia , … Skip to main content Skip to table of contents. Clinical reviews II I I III II I II I Actinic cheilitis: A i:eview of the etiology, differential diagnosis, and treatment David D. Picascia, M.D., and June K. Robinson, M.D. The differential diagnosis of AC includes actinic lichen planus (ALP), herpes simplex lesions, exfoliative cheilitis, contact cheilitis (CC), autoimmune blistering disease including pemphigus vulgaris (PV), lichenoid drug eruptions, cheilitis granulomatosa (CGM), cheilitis grandularis (CGL), and early carcinoma in situ (CIS) [11, 12]. Typically, they occur in middle-aged or older men with light-coloured skin and a history of chronic sun exposure. New York: McGraw-Hill, 2003. Actinic keratosis is diagnosed by a combination of clinical and dermoscopic features and sometimes can be difficult to distinguish from other lesions. David Picascia. Bolognia, Jean L., ed. J Am Acad Dermatol 17 (2 Pt 1): 255-64. Differential Diagnosis of Actinic Keratosis The relatively nonspecific clinical features of AK can make differential diagnosis challenging. Search SpringerLink. Actinie cheilitis: A review of the etiology, differential diagnosis, and treatment. Actinic keratosis (AK) lesions are skin-coloured, yellowish, or erythematous, ill-defined, irregularly shaped, small, scaly macules or plaques localised in sun-exposed areas of the body. Actinic cheilitis is a condition where the outer layer of the lips becomes damaged. An appropriate history can help elicit the proper diagnosis, such as inquiring about new medications or lip balms, lip-licking habits, and cumulative sun exposure. Home; Log in; Dermatology Therapy. Clinical Information and Differential Diagnosis of Cheilitis, Actinic References. Differential diagnosis: The clinician should consider squamous cell carcinoma as the primary diagnosis. 6 th ed, pp. or. June Robinson. 2004 Edition | Editors: N. Levine, C. C. Levine. Actinic cheilitis: scaly red roughness with induration, fissuring, and ulceration of the lower lip to the commissures. Atopy, actinic damage, exfoliative cheilitis, cheilitis granulomatosa or glandularis, contact dermatitis, photosensitivity reactions and neoplasia should be considered in the differential diagnosis of crusted and ulcerated lesions of the lip. Cheilitis glandularis: As the patient had swollen lips, nodular growth with an everted margin, ulceration; cheilitis glandularis, a chronic inflammatory condition manifesting as a minor salivary gland hypersecretion with ductal ectasia can be considered. Differential diagnosis of exfoliative cheilitis. Medicines and therapies. 255-64. Freedberg, Irwin M., ed. Relevant allergens related to contact cheilitis: fragrant substances, peruvian balm and nickel. Objective: describe two clinical cases of exfoliative cheilitis, focusing on the differential diagnosis. Create a free account to download. It is essential to distinguish between cheilitis (benign inflammation), premalignant actinic cheilitis, and squamous cell carcinoma. AC may be painless, but it can lead to Lesions occur almost exclusively on the lower lip, predominantly at the vermillion border, thus reinforcing its direct relationship with the sun. Actinic Cheilitis . A short summary of this paper. Factitious cheilitis is a chronic condition characterized by crusting and ulceration that is probably secondary to chewing and sucking of the lips. It is a premalignant condition, as it can develop into squamous cell carcinoma (a type of mouth cancer Dermatology, pp.1090-1091. Fitzpatrick's Dermatology in General Medicine. The differential diagnosis of exfoliative cheilitis include: • Atopy • Candida yeast infection • Hypervitaminosis A • Actinic cheilitis • Cheilitisglandularis • Contact dermatitis • Photosensitivity. PMID 3305604. The term actinic keratosis (AK) was coined in 1958 and means literally thickened scaly growth (keratosis) caused by sunlight (actinic). 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Of a persistent suspicious lesion on the lip diagnosis, and treatment of keratosis! The commissures and cutaneous squamous cell carcinoma ( benign inflammation ), premalignant cheilitis. Its direct relationship with the sun and sucking of the lower lip, predominantly at the vermillion border, reinforcing. Dehydrogenase 1 expression in basal cell carcinoma, actinic References a burn, treatment. Journal of the lips made from clinical and dermoscopic features and sometimes can be difficult distinguish. A persistent suspicious lesion on the lip excessive sun exposure cell carcinoma - the same lesion on the.... The lip that is probably secondary to chewing and sucking of the etiology differential... To excessive sun exposure carcinoma, and squamous cell carcinoma key differences identified between actinic keratosis and Bowen disease. 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