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Early, acute lesions may be erythematous (red) and edematous (swollen). [2] With months and years of sun exposure, the lesion becomes chronic and may be grey-white in color and appear dry, scaly and wrinkled. [2] There is thickening whitish discoloration of the lip at the border of the lip and skin.
A venous lake (also known as phlebectasis [1]) is a generally solitary, soft, compressible, dark blue to violaceous, 0.2- to 1-cm papule commonly found on sun-exposed surfaces of the vermilion border of the lip, face and ears. [2] [3] [4] Lesions generally occur among the elderly. [5] [6]
The term "cheilocandidiasis" describes exfoliative (flaking) lesions of the lips and the skin around the lips, and is caused by a superficial candidal infection due to chronic lip licking. [26] Impetigo (caused by Streptococcus pyogenes and/or Staphylococcus aureus), can manifest as an exfoliative cheilitis-like appearance. [26]
The term "cheilocandidiasis" describes exfoliative (flaking) lesions of the lips and the skin around the lips, and is caused by a superficial candidal infection due to chronic lip licking. [14] Less severe cases occur during cold, dry weather, and is a form of chapped lips .
Fordyce spots (also termed Fordyce granules) are harmless and painless visible sebaceous glands typically appearing as white/yellow small bumps or spots on the inside of lips or cheeks, gums, or genitalia. [1] [2] They are common, [3] and are present in around 80% of adults. [1]
Squamous cell papilloma of the mouth or throat is generally diagnosed in people between the ages of 30 and 50, [1] and is normally found on the inside of the cheek, on the tongue, or inside of lips. Oral papillomas are usually painless, and not treated unless they interfere with eating or are causing pain. [ 1 ]
For small lesions (T1–2), access to the oral cavity is through the mouth. When the lesion is larger, involves the bone of the maxilla or mandible, or access is limited due to mouth opening, the upper or lower lip is split, and the cheek pulled back to give greater access to the mouth. [46]
Perioral dermatitis is a rash typically around the mouth, that spares the vermilion border. [10] Cheilitis glandularis may present with a burning sensation over the vermilion border. This chronic progressive condition is associated with thinning of the skin of the lips and ulceration. [11] Infections may involve the vermilion border.