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What ointment should be applied for cheilitis?

Nov 11, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Under normal circumstances, cheilitis may be caused by contact allergens, bad habits, ultraviolet radiation, hyperthyroidism, granulomatous cheilitis, and other factors. The type of medicated ointment used depends on the specific type of cheilitis. When using ointments for treatment, it is important to maintain lip hygiene. If symptoms persist or worsen, prompt medical attention is recommended.

Generally, cheilitis may be caused by contact with allergens, bad habits, ultraviolet radiation, hyperthyroidism, granulomatous cheilitis, and other factors. The type of ointment used depends on the specific cause.

1. Contact allergens: When the lips come into contact with exogenous substances such as lipstick or lip balm allergens, lymphocytes in the lips become activated and release inflammatory mediators. It is recommended to apply topical medications such as tacrolimus ointment or boric acid ointment under a physician's guidance.

2. Bad habits: Frequently licking or biting the lips can damage the protective lipid layer of the lips, leaving them vulnerable to external irritants and inflammation. In such cases, it is recommended to use medications like triamcinolone acetonide-nicotinamide urea cream or erythromycin ointment as directed by a physician.

3. Ultraviolet radiation: UV exposure can damage DNA in lip cells, triggering an immune response that leads to symptoms such as swelling and erosion of the lips. It is advisable to use tretinoin cream or clobetasol propionate and gentamicin sulfate cream under medical supervision.

4. Hyperthyroidism: Overactive thyroid function can cause hyperplasia and ductal dilation of minor salivary glands in the lips, resulting in lip swelling, mucous discharge, and multiple small nodules on the lip mucosa. It is recommended to use mupirocin ointment or fluticasone propionate cream under a physician's guidance.

5. Granulomatous cheilitis: This condition involves granulomatous inflammation of the lip tissue, primarily characterized by lip swelling. The swelling usually begins on one side and gradually spreads to the other, presenting as diffuse, ill-defined swelling. It is recommended to use halometasone ointment or clobetasol propionate and gentamicin sulfate cream under medical supervision.

When using topical ointments to treat cheilitis, it is important to maintain lip hygiene, avoid bad habits such as lip licking or biting, and seek timely medical attention if symptoms persist or worsen.

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