Allergic contact cheilitis due to lipstick

Abstract

Background: Cheilitis is a common problem of unknown etiology. A possible cause of cheilitis is contact allergy. Drugs, lipsticks, sunblock and toothpaste are the most common implicated allergens. Allergic contact cheilitis is a chronic superficial inflammatory disorder of the vermilion borders characterized by desquamation due to delayed-type hypersensitivity reaction. Purpose : We report a management of Allergic contact cheilitis due to lipsticks. Case: A 21-year-old woman had a history of atopic allergy to eggs, milk, and chicken presented with sore, dry, fissured, scaled and sometimes bleeding lip, over a 3-month period after application of a lipstick. Her symptoms persisted despite treatments with hydrocortisone cream. The patient provided a detailed history and underwent physical examination and patch tests to cosmetic components and patch test to her own lipstick. The patient had strongly-positive result to the tested lipstick. A diagnosis of allergic contact cheilitis was made based on the history and clinical findings. Case management: Patient was advised to avoid wearing lipstick. To relieve symptoms, treatment was initiated with combined topical corticosteroid, antibiotic, and moisturizer. Conclusion: Contact allergy patients should be tested for both cosmetic component series and their own lipsticks to exclude exfolliative cheilitis, infection, or light actinic cheilitis as causal agents.

A Case Report on Stomatitis Venenata Due to the Use of Lip Balm

“…The clinical features of the present case corroborated with most of the aforementioned features. The causative agent responsible for the allergic reactions seen in the present case was narrowed down to the lip balm she had been using, based on the history and the provocative test (4,9,10). The reactions occurring on the lips are especially common in females due to the allergen in cosmetics which are mostly used by females.…”

“…Certain cosmetic products such as lipsticks, lip balms; dental preparations like dentifrices, mouthwashes, denture adhesives; food substances like chewing gums, candies; dental materials such as amalgam, eugenol, latex, acrylic; therapeutic agents like antibiotics, alcohols, cough syrups and procaine are known to cause oral lesions in stomatitis venenata (3)(4)(5)(6).…”

“…With the rising trend in terms of availability and usage of cosmetics, allergic reactions to one or more ingredients of cosmetics have become common. Studies reveal that 15-20% of cases of contact allergy are caused due to lipsticks and lip balms which are the most commonly used lip cosmetics and is frequently seen in females (4). The diagnosis and treatment of patients with allergy is particularly challenging as they are usually non-specific, may mimic other lesions and can present either immediately, may be delayed or occasionally, can even be hereditary.…”

Combination of hidrocortisone, kemicitine, lanoline and vaseline for allergic cheilitis treatment: case report

“…Penyebab yang mungkin termasuk pasta gigi dan pencuci mulut, bahan gigi, lipstik, lip gloss, tabir surya, enamel kuku, rokok, makanan, obat topikal (misalnya perlekatan mycotic perlèche atau labial herpes simpleks), logam (nikel), dan benda karet. 2,3 Peracikan obat masih sering dilakukan di Indonesia, salah satunya adalah dalam bentuk sediaan krim. Sam-pai saat ini peracikan obat masih menjadi pro dan kontra dalam pemilihan pengobatan, akan tetapi peracikan obat dengan pemilihan komposisi bahan yang tepat dan dilakukan oleh apoteker yang terlatih dapat mencegah medication error serta dapat menjaga efikasi obat.…”