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Related Experiment Videos

Factitial cheilitis in an adolescent.

S D Calobrisi1, E Baselga, E S Miller

  • 1Mayo Clinic Foundation, Rochester, Minnesota, USA. calobrisi.stella@mayo.edu

Pediatric Dermatology
|February 23, 1999
PubMed
Summary

A 14-year-old girl experienced a 2-year struggle with painful cheilitis, leading to dehydration and hospitalization. A diagnosis of factitial cheilitis was eventually established after extensive medical evaluation.

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Area of Science:

  • Dermatology
  • Psychosomatic Medicine

Background:

  • Factitial cheilitis is a rare condition characterized by self-inflicted inflammation of the lips.
  • It often presents with diagnostic challenges due to its varied and sometimes subtle presentation.

Observation:

  • A 14-year-old female presented with a 2-year history of severe, vegetating cheilitis.
  • The condition caused significant pain, inability to drink fluids, and recurrent hospitalizations for dehydration and pain management.
  • Initial investigations including lip and skin biopsies and laboratory studies were inconclusive.

Findings:

  • Despite extensive workup, a definitive diagnosis remained elusive for two years.
  • The final diagnosis established was factitial cheilitis, indicating a self-inflicted etiology.
  • This highlights the importance of considering factitial causes in refractory or unusual presentations.

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Implications:

  • Delayed diagnosis of factitial cheilitis can lead to significant patient distress and medical complications.
  • Healthcare providers should maintain a high index of suspicion for factitial disorders in cases with persistent, unexplained symptoms.
  • Further research into the underlying psychological factors and effective management strategies for factitial cheilitis is warranted.