What is it about?

Factitious Cheilitis (FC) has been described as dryness, scaling, and fissuring of the lips resulting from mannerisms like biting or frequent licking. FC should be considered in patients presenting with unusual hemorrhagic crusting of the lips in the absence of an appreciable cause and when deliberate manipulation of the lips is suspected. The crusting in FC could be very thick, formed from layers of hemorrhagic exudates giving the appearance of coagulated blood or serum over the lips

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Why is it important?

A high index of suspicion and awareness about the condition might aid in early diagnosis and appropriate management.

Perspectives

Having a hunch regarding the chances of intentional self-harm is important because these patients refuse their involvement in the production of lesions. [6] Multiple diagnostic tests are often nonspecific. Diagnosis is generally confirmed by demonstrating the skin lesions to resolve under occlusion, so was the scenario in the present case.

Dr Arunprasath Palanisamy

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This page is a summary of: Recurrent bleeding lip in an adolescent female - Chasing the cause, Indian Journal of Dermatology, January 2016, Medknow,
DOI: 10.4103/0019-5154.174142.
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