Factitious lip crusting

Four cases of factitious crusting of the lips in women are reported. Two of the women had hemorrhagic crusts, and two had keratotic yellow crusts. All four patients had personality disturbances. Biting, picking, or unconscious licking of the lips may be the underlying mechanism for trauma and crust...

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Bibliographic Details
Published inArchives of dermatology (1960) Vol. 117; no. 6; p. 338
Main Authors Crotty, C P, Dicken, C H
Format Journal Article
LanguageEnglish
Published United States 01.06.1981
Subjects
Adolescent
Adult
Cheilitis - pathology
Cheilitis - psychology
Diagnosis, Differential
Female
Humans
Lip Diseases - etiology
Lip Diseases - pathology
Oral Hemorrhage - etiology
Oral Hemorrhage - pathology
Personality Disorders - complications
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Summary:Four cases of factitious crusting of the lips in women are reported. Two of the women had hemorrhagic crusts, and two had keratotic yellow crusts. All four patients had personality disturbances. Biting, picking, or unconscious licking of the lips may be the underlying mechanism for trauma and crust formation. This entity should be distinguished from contact cheilitis, actinic cheilitis, infectious cheilitis glandularis, and cheilitis granulomatosa. Some cases of exfoliative cheilitis may also be factitious. The presence of bizarre hemorrhagic or keratotic crusts on the lips should alert the clinician to a possible factitious origin, and a psychiatric evaluation should be done.
ISSN:0003-987X
DOI:10.1001/archderm.1981.01650060028017