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Cheilitis (Contact). Presented by Dr. L. G. Beinhauer, Pittsburgh.
P. K., a white woman aged 22, presents a recurrent edematous exfoliating eruption of both lips of twelve months' duration. The eruption began after a nervous breakdown one year ago, when the habit of biting the lips was developed. Recurrent attacks with soreness of the tongue and mouth have been noted since the onset. General weakness and fatigue with anorexia and slight loss in weight accompany the eruption.The lips present an acute, rose red, edematous, granular exfoliation, with patent sievelike orifices, through which a mucoid sticky discharge exudes. At the initial examination a moderate erythematous dermatitis involving the perioral skin, together with a decided pallor of the lips and adjacent mucous membrane, and glazed inflammation of the lip and sides of the tongue were present.All forms of contact irritation were inquired into, but nothing contributory except frequent changes in
Kerr JC, Goldstein MB. CENTRAL STATES DERMATOLOGICAL ASSOCIATIONPittsburgh Dermatological Society, Hosts. Arch Derm Syphilol. 1939;40(4):653–676. doi:10.1001/archderm.1939.01490040134017