J Oral Med Oral Surg
Volume 24, Number 2, June 2018
|Page(s)||89 - 92|
|Section||Cas clinique et revue de la littérature / Up-to date review and case report|
|Published online||29 June 2018|
Up-to Date Review and Case Report
Isolated lip involvement in psoriasis: an uncommon aspect of a common dermatologic condition
Oral Surgery Unit, Dental Medicine Department in University Hospital Farhat Hached,
2 Research Laboratory, LR 12SP10, Functional and Aesthetic Rehabilitation of Maxillary, Sousse, Tunisia
* Correspondence: email@example.com
Accepted: 14 December 2017
Introduction: Psoriasis is a chronic inflammatory skin disease that typically affects the extremities, trunk, scalp, and nails. Psoriatic cheilitis as an exclusive presentation is very rare and to our knowledge, only 6 cases have been reported to date. The absence of cutaneous lesions causes diagnostic difficulties that can result in misdiagnosis and inadequate treatment. Observation: We reported the case of a 21-year-old woman with a seven years history of scaly plaques of the vermillion of the lips as the only disease manifestation. Her cheilitis was associated with significant psychiatric morbidity. Oral biopsy showed a psoriasiform pattern. Local applications of betamethasone was proposed. Discussion: Although lip psoriasis is extremely rare, it can be the sole presentation of psoriasis even in the absence of accompanying skin lesions, other oral manifestations or a family history of psoriasis. Conclusion: Lip psoriasis should be considered in the differential diagnosis of chronic or recurrent treatment-resistant labial lesions.
Key words: psoriasis / cheilitis / diagnosis
© The authors, 2018
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Current usage metrics show cumulative count of Article Views (full-text article views including HTML views, PDF and ePub downloads, according to the available data) and Abstracts Views on Vision4Press platform.
Data correspond to usage on the plateform after 2015. The current usage metrics is available 48-96 hours after online publication and is updated daily on week days.
Initial download of the metrics may take a while.