Actinic Cheilitis
importance of prevention and early identifying clinical sign
DOI:
https://doi.org/10.47519/risi.v1i00.2Keywords:
Actinic cheilitis, Squamous cell carcinoma, LipAbstract
Actinic cheilitis is an inflammatory oral potentially malignant disorder, that affects mainly the lower lip, due to chronic and progressive exposure to ultraviolet radiation sunlight. This case reports a 61-year-old man, that was referred to the Dental Clinic University because of some ulcers in lower lip region for approximately 6 months. Extra-oral physical examination revealed cracked and whitish areas in lower lip, near to the ulcer, suggesting actinic cheilitis. An incisional biopsy was performed, and the histopathological analysis confirmed the presence of oral mucosa consisting of a parakeratinized squamous stratified epithelium, with basophilic degeneration of collagen, and the clinical diagnosis of actinic cheilitis. The patient was advised to avoid sun exposure and to use sunscreen and hat. There were no signs of recurrence of the lesion in clinical follow-up. This case reinforces the importance of early diagnosis of actinic cheilitis and to warn the population about this pathology, since it may evolute to lip squamous cell carcinomas.
Downloads
References
ARAÚJO C.P.; VIDAL, M. T. A; GURGEL, C. A. S; RAMOS, E. A. G.; JUNIOR, A. A. B.; RAMALHO, L. M. P.; SANTOS, J. N. Queilite actínica: um estudo de 35 casos com destaque para os aspectos morfológicos. RPG Rev. Pós Grad., Faculdade de Odontologia da Universidade Federal da Bahia (FOUFBA), Salvador, v. 19, n. 1, p. 21-7, 2012.
CARVALHO, M. V.; DE MORAES, S. L. D.; LEMOS, C. A. A.; SANTIAGO JÚNIOR, J. F.; VASCONCELOS, B. C. D. E.; PELLIZZER, E. P. Surgical versus non-surgical treatment of actinic cheilitis: A systematic review and meta-analysis. Oral Dis., v. 25, n. 4, p. 972-981, 2019. DOI:10.1111/odi.12916. DOI: https://doi.org/10.1111/odi.12916
CINTRA JS, TORRES SCM, SILVA MBF, JUNIOR LRCM, FILHO JPS, JUNQUEIRA JLC. Queilite Actínica: Estudo epidemiológico entre trabalhadores rurais do município. Rev Assoc. paulista Cir. Dent.; v. 67, n. 2, p. 118-21, 2013. Disponível em: http://revodonto.bvsalud.org/scielo.php?pid=S00042762013000200006&script=sci_abstract&tlng=pt. Acesso em: 17 mar. 2021.
CREMONESI AL, QUISPE RA, GARCIA ASM, SANTOS, PSS. Queilite actínica: um estudo retrospectivo das características clinicas e histopatológicas. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo. v. 62, n. 1, p. 7-11, 2017.
LUCENA, E. E. S; COSTA, D. C.; DA SILVEIRA, E. J.; LIMA, K. C. Prevalence and factors associated to actinic cheilitis in beach workers. Oral Dis., v. 18, n. 6, p. 575-579, 2012. DOI: 10.1111/j.1601-0825.2012.01910.x. DOI: https://doi.org/10.1111/j.1601-0825.2012.01910.x
MARTINS-FILHO P. R.; SILVA, L. C.; PIVA, M. R. The prevalence of actinic cheilitis in farmers in a semi-arid northeastern region of Brazil. Int J Dermatol. v. 50, n. 9, p. 1109-1114, 2011. DOI: 10.1111/j.1365-4632.2010.04802.x. DOI: https://doi.org/10.1111/j.1365-4632.2010.04802.x
MELLO, F. W.; MELO, G.; MODOLO, F.; RIVERO, E. R. Actinic cheilitis and lip squamous cell carcinoma: Literature review and new data from Brazil. J Clin Exp Dent. v. 11, n. 1, p. e62-e69, 2019. DOI:10.4317/jced.55133. DOI: https://doi.org/10.4317/jced.55133
MOREIRA P, ASSAF AV, CORTELLAZZI KL, TAKAHAMA JUNIOR A, AZEVEDO RS. Social and behavioural associated factors of actinic cheilitis in rural workers. Oral Dis. v. 27, n. 4, p. 911-918, 2021. DOI:10.1111/odi.13610. DOI: https://doi.org/10.1111/odi.13610
MUSE, M. E.; CRANE, J. S. Actinic Cheilitis. In: STATPEARLS. StatPearls Publishing, 2023.
RIEBEL, J.; TILAKARATNE, W.; GALE, N.; WESTRA, W.; HILLE, J.; WILLIAMS, M. Oral potentially malignant disorders & oral epithelial dysplasia. In: EL-NAGGAR, A. K.; CHAN, J. K. C.; GRANDIS, J. R.; TAKATA, T.; SLOOTWEG, P. J. (ed.). WHO classification of head and neck tumours. 4. ed. Lyon: International Agency for Research on Cancer, 2017. p. 112–115.
DE OLIVEIRA RIBEIRO, A.; DA SILVA, L. C.; MARTINS-FILHO, P. R. Prevalence of and risk factors for actinic cheilitis in Brazilian fishermen and women. International Journal of Dermatology, v. 53, n. 11, p. 1370–1376, 2014. DOI:10.1111/ijd.12526 DOI: https://doi.org/10.1111/ijd.12526
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ibero-American Journal of Integrative Health
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
