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Article
September 1950

NEW ENGLAND DERMATOLOGICAL SOCIETY

Author Affiliations

President; Secretary April 20, 1949

Arch Derm Syphilol. 1950;62(3):465-471. doi:10.1001/archderm.1950.01530160119024

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Abstract

Cheilitis Exfoliativa. Presented by Dr. Bernard Appel, Lynn, Mass.

V. M., a 22 year old white Italian housewife, is presented with a complaint of sore lips and mouth for two years. The condition originated with cracking and scaling of the lips. The patient discontinued the use of lipstick, but there was no improvement. She subsequently omitted tooth paste, with no result. Food has not been observed to exert any influence. The condition has remained much the same throughout the past two years, with occasional exacerbation and partial remissions.

Examination reveals a moderate degree of scaling and some crust formation limited to the vermilion portion of the lips. The crusts are yellowish, and in some areas there is considerable heaping-up of dried exudate. Removal of this material reveals a surface which is redder than normal and in which small fissures are present. There is also pronounced gingivitis.

Laboratory procedures have included

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