EXFOLIATIVE CHEILITIS YANG BERHUBUNGAN DENGAN PARAFUNGSI ORAL DAN INDUKSI OBAT

Abstract

Background: Exfoliative cheilitis is a chronic inflammatory condition of the lips characterized by recurrent desquamation or peeling of the vermilion, which may be accompanied by dryness, burning, and pain. The etiology of this condition is multifactorial, including parafunctional habits such as licking or biting the lips, exposure to local irritants, allergic reactions, and the possibility of secondary infections. Psychological factors such as stress and anxiety, as well as the use of certain medications, including antidepressants, have also been reported to play a role as predisposing factors for exfoliative cheilitis. Objective: To provide an overview of the clinical symptoms and management of a case of exfoliative cheilitis. Case Report: A 26-year-old woman presented with complaints of dry lips for approximately one month prior to the visit. The complaints affected both the upper and lower lips, accompanied by pain and occasional bleeding. The patient had never received any previous treatment. Case Management: The patient was given therapy in the form of topical agents to reduce inflammation and improve the condition of the lip mucosa, including a combination of topical steroid hydrocortisone-iodoquinol and moisturizing gel. In addition, nonsteroidal anti-inflammatory drugs were given as additional therapy. The patient also received education on behavior modification and stress management, considering the role of parafunctional habits and psychological factors in maintaining and triggering exfoliative cheilitis recurrences. Conclusion: Treatment of exfoliative cheilitis in this case consisted of supportive therapy, including topical agents and IEC (Information and Communication) education to the patient on behavior modification and stress management.