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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Lichen Planus Cheilitis: A Brief Review.

Sonika Garg1, Biswanath Behera1, Shreya K Gowda1

  • 1Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Indian Dermatology Online Journal
|July 21, 2025
PubMed
Summary

Lichen planus (LP) cheilitis, a rare lip inflammation, is often misdiagnosed, especially in darker skin tones. Early diagnosis and treatment are key for managing this condition and preventing potential malignancy.

Keywords:
Cheilitisdermoscopyhistopathologylichen planuslipvermilion

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Area of Science:

  • Dermatology
  • Oral Medicine

Background:

  • Cheilitis is a group of lip inflammatory conditions with diverse causes.
  • Lichen planus (LP) cheilitis is an uncommon variant, frequently misdiagnosed, particularly in individuals with skin of color.
  • Accurate diagnosis is challenging due to its similarity to other lip conditions.

Purpose of the Study:

  • To review the current literature on Lichen planus (LP) cheilitis.
  • To focus on clinical presentation, diagnosis, differential diagnosis, treatment, and prognosis.
  • To highlight the importance of recognizing this entity, especially in diverse populations.

Main Methods:

  • Comprehensive literature review of case series and reports.
  • Analysis of clinical presentation, diagnostic tools, and histopathology.
  • Evaluation of treatment strategies and patient outcomes.

Main Results:

  • LP cheilitis primarily affects the lower lip, often presenting as erosive variant with Wickham's striae.
  • Histopathology aligns with cutaneous LP; immunofluorescence may show fibrinogen deposits.
  • Topical corticosteroids and calcineurin inhibitors are first-line treatments; systemic therapy for resistant cases.

Conclusions:

  • Lichen planus (LP) cheilitis is a distinct, underrecognized lip condition requiring specialized evaluation.
  • Increased awareness and research, particularly in diverse skin types, are vital for improved diagnosis and outcomes.
  • Photoprotection is crucial due to the risk of malignant transformation.