Cheilitis abrasiva praecancerosa L57.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Manganotti's cheilitis; precancerous abrasive cheilitis

History
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Manganotti

Definition
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Special form of Cheilitis actinica with erosive-crusty lesions.

Localization
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Especially lower lip.

Clinical features
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White, partly eroded plaques with strong inflammatory superposition, also crust formation with rhagades.

Diagnosis
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Clinic, histology, vital staining with toluidine blue.

Differential diagnosis
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Therapy
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  • Vermillonectomy is therapy of first choice, in which the red of the lips is removed in horizontal strips, the lip mucosa is mobilized as a lip replacement and sutured to the adjacent field skin.

Notice! In case of Cheileitis abrasiva praecancerosa always exclude an invasive growing spinocellular carcinoma!

  • Alternative: If the location is clearly intraepidermal (previous biopsy!), cryosurgery can be used (stamping (or open spray method) in 2 cycles at -180 °C) or superficial vaporization withCO2 laser.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020