Abstract
1.1. Cases of three patients suffering from cheilitis glandularis apostematosa are presented.2.2. This chronic condition consists of a syndrome of (a) a disfiguring enlargement and ectropion of the lower lip, with certain changes in both the epithelium and the lamina propria of the mucosa of the vermilion zone; (b) a hyperplasia of the labial mucous glands; and (c) an enlargement and inflammation of the excretory ducts of these glands.3.3. Case histories and clinical and histologic examinations seem to indicate that this anomaly is due primarily to chronic chapping, scarring, and subsequent eversion of the lower lip. The ectropion, in turn, is followed by irritation of the exposed vestibular lip mucosa from the drying effect of the air, from actinic rays, air-borne chemicals, and, probably, the repeated contact of this tissue with saliva saturated with tobacco juice.4.4. Roentgen therapy and excision of the lesion have been advocated in the treatment of this condition,8 but no consistently successful therapy is known.13 In view of the absence of any complaint on the part of our patients, we recommended to them the use of a good lip pomade and asked them to stop using tobacco.
Published Version
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