FACTITIOUS CHEILITS: A CASE REPORT

Abstract

A 24-year-old white man, nonsmoker and nonalcoholic, presented to the stomatology ambulatory department with the complaint of desquamation on his lips that started 9 years ago. On intraoral examination, lesions were observed in all extension of the upper and lower lips, sometimes of yellowish color, sometimes whitish, with painless and crusted areas. He reported putting his lips between his teeth in a chronic way and a habit of nibbling. The patient performed previous topical treatments without resolution of the condition. After an incisional biopsy with results that showed an unspecific chronic inflammatory process and the associated clinical examination, the final diagnosis was factitious cheilitis. After diagnosis, manipulated topical treatment of 9 g Vaseline + 1 g lanolin + 2 g glycerin, in gel, was instituted for 2 months, and total lesion regression was observed. The patient has been followed up for 6 months, evolving with normal aspects in the labial mucosa. A 24-year-old white man, nonsmoker and nonalcoholic, presented to the stomatology ambulatory department with the complaint of desquamation on his lips that started 9 years ago. On intraoral examination, lesions were observed in all extension of the upper and lower lips, sometimes of yellowish color, sometimes whitish, with painless and crusted areas. He reported putting his lips between his teeth in a chronic way and a habit of nibbling. The patient performed previous topical treatments without resolution of the condition. After an incisional biopsy with results that showed an unspecific chronic inflammatory process and the associated clinical examination, the final diagnosis was factitious cheilitis. After diagnosis, manipulated topical treatment of 9 g Vaseline + 1 g lanolin + 2 g glycerin, in gel, was instituted for 2 months, and total lesion regression was observed. The patient has been followed up for 6 months, evolving with normal aspects in the labial mucosa.