Abstract
A 21-year-old man sought treatment at an oral pathology center presenting with thick, brownish and peeling crusts along the upper and lower lips with a time-course evolution of 5 years. His main complaints were pruritus, burning sensation, and lack of aesthetics. Concomitantly with the onset of the lesions, the patient was diagnosed with anxiety disorder and depression. The diagnosis of exfoliative cheilitis was made based on the clinical characteristics and symptomatology reported by the patient. Tacrolimus monohydrate 0.1 % (2 times a day) and dexpanthenol 50 mg/mL (3 times a day) were prescribed, and in only 2 weeks, there was complete remission of all crusted lesions, partial regression of edema, and absence of pruritus. Currently, the patient remains using the medication only twice a week and there is no crust formation as well as no symptomatology.
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