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Re: "Exfoliative cheilitis successfully treated with topical tacrolimus"
 
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Published: 13 years ago
 
This is a reply to # 1,222,349

Re: "Exfoliative cheilitis successfully treated with topical tacrolimus"


More research:

Cheilitis as a variation of Candida-associated lesions
Authors: H Terai, M Shimahara
Published in Oral Diseases (2006) 12, 349–352.

In this study, 6 out of 9 patients with cheilitis had some form of oral candida.

FORMS OF CHEILITIS:
"In general, cheilitis is classified according to etiologic
factors: actinic cheilitis by the ultraviolet light, cheilitis
glandularis by inflammatory disorder of minor salivary
glands, exfoliative cheilitis by self-induced trauma,
contact cheilitis or atopic cheilitis by allergic reaction
and angular cheilitis by candidal infection (Rogers,
1999)."

"On mycological examination, C. albicans was isolated
in about 80% of our cases. Reported rates of yeast
carriage in the human mouth vary widely (from 25% to
75%), depending on the population sampled and
sensitivity of the sampling technique (Odds, 1988)."

TREATMENT:
"The treatment was miconazol gel 25 mg four times per day. Patients were instructed to drop the gel onto the tongue, spread whole mouth including lip lesions and hold for at least 10 min, and then to swallow."

"The outcomes of antifungal treatment in the present
cases suggested that one form of the varieties of oral
Candida-associated lesions might be considered in the
case of cheilitis with unknown origin that was persistent
and ineffective to the topical steroids treatment."
 

 
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