Chronic Lip Cracking in Children: Causes and Effective Treatments - Dermatology

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Chronic chapped lips - further inquiry?


Thank you, Dr.
Huang, for your prompt response! We have seen many dermatologists, and they usually conclude that he is licking his lips to relieve temporary dryness, which subsequently leads to worse lip inflammation.
I have provided him with Sebamed lip balm and Vaseline, but the doctors say he is not applying them diligently, so his condition continues to worsen without improvement.
Some doctors believe this is atopic dermatitis affecting his lips, while others suggest changing his constitution (according to a traditional Chinese medicine practitioner).
I am unsure what this peculiar condition could be.
If it is merely lip licking causing the inflammation to worsen, is there a chance that diligently applying Sebamed lip balm and Vaseline could lead to recovery? It is truly heartbreaking!
Your question: My child is 8 years old and has had relatively dry lips since childhood, requiring lip balm during winter.
Since last autumn, the condition has become unusually severe.
We have visited several clinics and hospitals (both Western and traditional Chinese medicine), and only one hospital provided a medication (a combination of antibacterial and antiviral ointments) that worked for about a month, after which it was ineffective.
We are left helpless as we watch him suffer.
I have noticed that the scabbing on his lips is cyclical (he says it itches), progressing from thickening to worsening, and finally peeling.
Therefore, during treatment, there have been several instances where it was mistakenly thought that there were signs of symptom improvement.
It seems that winter is more severe, while summer is less prone to bleeding.
He has an allergic constitution (I do too), sneezing every morning and experiencing nasal congestion at night.
Allergy testing shows he is allergic to dust mites.
I wonder where we can find a good doctor? How should we respond?
Mrs.
Wang
Response from the physician: Dermatology, Dr.
Huang Rui-Yun
Physician's advice: First, pay attention to whether the child has a habit of licking his lips.
If so, it is essential to break this habit, as saliva can damage the lips and skin.
While licking the lips may provide temporary relief from dryness, it will ultimately lead to more severe inflammation.
If he feels dry, he should apply lip balm or Vaseline as needed.
If this does not improve the situation, please visit a dermatology clinic.

Wang Tai Tai, 40~49 year old female. Ask Date: 2006/08/09

Dr. Huang Ruiyun reply Dermatology


Lip balm or petroleum jelly has no medicinal or toxic properties, so it’s fine to apply it multiple times a day! Prescription ointments from a dermatologist should be used twice a day.
Definitely avoid licking your lips.

Reply Date: 2006/08/09

More Info


Chronic lip cracking in children can be a frustrating condition for both the child and the parents. It often presents as dry, cracked, and sometimes inflamed lips, which can lead to discomfort and self-consciousness in children. Understanding the underlying causes and effective treatments is essential for managing this condition.


Causes of Chronic Lip Cracking
1. Environmental Factors: Dry weather, especially during winter months, can lead to increased lip dryness. Low humidity levels can exacerbate this condition, making lips more prone to cracking.

2. Licking of Lips: Many children develop a habit of licking their lips when they feel dry. While this may provide temporary relief, saliva can actually worsen dryness and lead to irritation and inflammation, creating a vicious cycle.

3. Allergic Reactions: Children with allergic tendencies may react to certain foods, lip products, or environmental allergens, leading to lip irritation. Common allergens include certain flavors in lip balms or even toothpaste.

4. Atopic Dermatitis: Children with a history of eczema or atopic dermatitis may experience flare-ups on the lips, leading to chronic dryness and cracking.

5. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (like riboflavin and niacin), can contribute to dry and cracked lips.

6. Underlying Medical Conditions: In some cases, chronic lip cracking may be associated with systemic conditions such as autoimmune disorders or infections.


Effective Treatments
1. Moisturizing: Regular application of lip balms or ointments is crucial. Products containing ingredients like petrolatum (Vaseline), shea butter, or beeswax can provide a protective barrier against moisture loss. It’s important to apply these products frequently, especially after eating or drinking.

2. Avoiding Licking: Educating the child about the negative effects of licking their lips is essential. Parents can encourage their child to use lip balm instead of licking.

3. Hydration: Ensuring the child stays well-hydrated can help maintain skin moisture levels, including the lips. Encourage drinking plenty of water throughout the day.

4. Identifying Allergens: If allergies are suspected, it may be beneficial to consult with an allergist to identify and avoid specific triggers. This may involve allergy testing.

5. Topical Treatments: In cases where inflammation is significant, a pediatric dermatologist may recommend topical corticosteroids or other anti-inflammatory medications to reduce swelling and irritation.

6. Dietary Adjustments: Ensuring a balanced diet rich in vitamins and minerals can help improve skin health. If deficiencies are suspected, a healthcare provider may recommend dietary changes or supplements.

7. Regular Dermatological Care: If the condition persists despite home treatments, it is advisable to seek further evaluation from a pediatric dermatologist. They can provide specialized care and may suggest additional treatments, such as prescription medications.


Conclusion
Chronic lip cracking in children can be managed effectively with a combination of preventive measures and treatments. It’s important to address habits like lip licking and to maintain a consistent moisturizing routine. If the condition does not improve or worsens, further evaluation by a healthcare professional is warranted to rule out underlying conditions and to explore more targeted treatment options. Parents should remain vigilant and proactive in managing their child’s lip health, ensuring they feel comfortable and confident.

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