Cheilitis abrasiva praecancerosaL57.8

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

Manganotti's cheilitis; precancerous abrasive cheilitis

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HistoryThis section has been translated automatically.

Manganotti

DefinitionThis section has been translated automatically.

Special form of Cheilitis actinica with erosive-crusty lesions.

LocalizationThis section has been translated automatically.

Especially lower lip.

Clinical featuresThis section has been translated automatically.

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

DiagnosisThis section has been translated automatically.

Clinic, histology, vital staining with toluidine blue.

Differential diagnosisThis section has been translated automatically.

Spinocellular carcinoma; lichen planus.

TherapyThis section has been translated automatically.

  • 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.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer