Etiology • Causes may be atopic, contact, factitious, infectious, systemic,
or medication induced.
Clinical Presentation • Usually involves lower lip (in both genders); can involve both
lips • Tender or asymptomatic crusts and impacted scale of vermilion • Minimal inflammation
Diagnosis • Clinical appearance • Nonspecific microscopy results
Differential Diagnosis • Atopic cheilitis • Actinic cheilitis • Contact cheilitis
Treatment • Determination of cause • Supportive care • Topical or intralesional corticosteroids, including lip ointments/
pomade (hypoallergenic) • Topical tacrolimus ointment
Prognosis • Chronic • Psychologic support for factitial cheilitis