Abstract
Exfoliative cheilitis is a rare disorder of unknown etiology causing inflammation of lips. Constant cyclical desquamation along with scaling and crusting of the lips are the salient features. These cases are usually refractory to treatment, as experienced and reported in the previous literature. We hereby report two cases of exfoliative cheiltis successfully treated with topical tacrolimus and oral olanzapine. One of our two cases was refractory to almost all forms of treatments.
Key words: exfoliative cheilitis; inflammation; olanzapine; tacrolimus Introduction
Exfoliative cheilitis is a chronic inflammatory disease affecting vermilion border of lips with no specific etiology, although initially was thought to be associated with repetitive biting, sucking, licking or picking of lips. However later it was defined as a cyclic desquamation of the lips without the evidence of factitial sources of irritation such as lip licking or biting, infection or allergens as the primary etiology of the desquamation (1). Psychological/psychiatric problems like stress, anxiety, depression, obsessive compulsive disorders are known to be strongly associated with exfoliative cheilitis in the majority of previously reported cases (2).
…show more content…
Pain while speaking, eating or smiling is commonly reported. Unaesthetic appearance of lips could compromise the social life of these patients.
Majority of cases reported in the previous literature were refractory to therapy (2, 3). We hereby report two cases of exfoliative cheilitis successfully treated with combination of topical tacrolimus and oral olanzapine. One of the two cases was refractory to almost all forms of
Do you have a mole that 's always bothered you? Most moles are harmless skin growths comprised of a collection of pigmented cells, according to WebMD. However, if you have a cancerous mole, it has more serious ramifications for your health. Unsure about your mole? Gateway Dermatology PC in Lincoln, NE, has answers.
Whenever you see a dead person, in their casket, do you ever say “ that looks nothing like them” or “ is that really them?” This is because of the process that goes on in the funeral home. The funeral director does everything he can to prepare the corpse for the public. In Behind the Formaldehyde Curtain, Jessica Mitford explains everything that is done to the deceased. This essay is so in depth about what all is done that that is why it’s so effective in making you think twice about having this procedure done to yourself or loved ones.
Eczema is a non-parasitic infection that produces dry, itchy skin often manifesting in scaly bumps or open sores. The causes of the said skin disease are allergies,
6. Name two possible treatments for this disease. 1.Topical treatment that can rub into the affected area of the skin. 2.Coal-tar ointments and shampoos. ”
SOAP Evaluation 1. Sign and symptoms/Clinical presentation of disease process a. How did your patient present: 62 y.o. white, female patient with past medical history of hypertension, diabetes mellitus, hypercholesterolemia, hypothyroidism, and obesity presented with chief complaint of a painful vesicular rash on her back down to her waist. “The rash is very painful. It’s a continuous stabbing, burning pain.” She rates the pain 8/10.
Body Ritual Among the Nacirema by Horace Miner describes the compelling culture of the Nacirema natives and the core beliefs that drive them to the extremes they exercise. It is apparent what Horace’s opinion of their practices are, as he is both fascinated and horrified to learn what these people do to preserve life. The Nacirema, as stated in the reading, dedicate a considerable portion of their day in ritual activity. They prioritize the health and appearance of the human body, using ceremony as a means to keep the human’s natural tendency of sickness and repulsiveness, at bay.
The cause of dermatomyositis is unknown, but it is believed to be similar to autoimmune disorders where a person’s immune system accidently attacks its own body tissue. Dermatomyositis partially affects the small blood vessels in the muscle tissue, because inflammatory cells surround the blood vessels, which eventually causes the degeneration of muscle fibers. Some of the complications caused by dermatomyositis include: difficulty to swallowing due to affected muscles in the esophagus, aspiration pneumonia where one breathes foods into their lungs because they have difficulty swallowing, breathing problems due to affected chest muscles, and also calcium deposits that can develop in the muscles, skin, and connective tissues. Dermatomyositis can also lead to the following diseases: Raynaud 's phenomenon, lupus,
Introduction And Background We perpetually worry perpetually concerning skin disorder and it ought to be this fashion too. nobody would ever need spots and pimples on their face, particularly on their face! which region is that space wherever skin disorder appears to hit the foremost. Our face is constantly exposed to everything around whereas most of the body has the shelter of an article of clothing. It meets the wind, the dust, the humidness and conjointly the utmost exposure to daylight that all told cases are that the hardest issue for skin disorder.
Sometimes, the lungs can develop scarring from the inflammation and cause shortness of breath. A patient with lupus may also become sensitive to the ultraviolet rays in sunlight, which can cause many skin changes. The most common skin problem they might develop is a butterfly-shaped rash on your nose and cheeks. Red, scaly bumps or patches can develop on their body. Also, coin-like patches called discoid lesions can appear on their body or scalp.
A 52 year old patient was referred to hospital for widespread tense, serous fluid filled blisters with an inflammatory base in the skin. Discuss the integumentary assessment for this patient? Integumentary Assessment: An examination of the integumentary requires some understanding of the structure and function of the system. There also needs to be an awareness of the appearance of the skin in healthy and diseased states.
The major causes behind this are the external agents which can incite irritation. This condition can be precisely handled by application of drawing salve over the infected areas. The layer of salve prevents the interaction of skin with any foreign agents which eases the urge to scratch the infected region. Though immediate healing is not possible, salves can be prolific in assisting the healing procedure. Not only do salves prove outstanding in curing insect bites and common skin infections but are also profoundly active in curing the hideous psoriasis and
Extreme skin sensitivity Clogged Pores, Sensitive Red Skin, Rosacea are all the telling signs that your skin health suffers from an extreme sensitivity... The chemicals included in it, can act to heighten an increase in skin's sensitivity, as
Dermatitis is an inflammation of the skin when the skin becomes dry, red, scaly, flaky, itchy, and can be blistered. The skin becomes hard, thickened and cracked, swelled, especially in the eyes, face, or groin areas. Skin can appear darkened or leathery, extreme itching and sun sensitive. The most vulnerable parts of the body are the hands, the forearms and face.
Q9. Explain your understanding of the following: Meridians, Yin and Yang, The Tsubo. What is their significance in Aromatherapy? Meridian is a pathway through which universal or vital energy called Ch'i or Qi flows.
Eczema Skin Disease Eczema alludes to an unending incendiary skin condition, described by dry skin, with patches that are red and seriously irritated. These patches of eczema may overflow, turn out to be textured, crusted, or solidified. Side effects can run from mellow to extreme, and the condition can contrarily affect personal satisfaction. Dermatitis can happen anyplace on the skin and is normally found on the flexors. There are numerous sorts of eczema, with the most widely recognized one being atopic dermatitis.