Eczema on the Lips (Eczematous Cheilitis): Symptoms, Causes, Treatment

What are the symptoms of eczema on the lips?

Eczema on the lips, also known as eczematous cheilitis or lip dermatitis, can present with symptoms similar to eczema on other parts of the body, but it may be particularly uncomfortable and challenging to manage due to the sensitive nature of the skin on the lips. Symptoms of eczema on the lips may include:

Dryness: The lips may feel dry, tight, and rough.
Redness: The skin on the lips may appear red or inflamed.
Cracking: The skin on the lips may crack or split, which can be painful and may bleed.
Swelling: In some cases, eczema on the lips can cause swelling, especially if the skin is irritated or inflamed.
Itching: Itching is a common symptom of eczema and can affect the lips, leading to a strong urge to scratch.
Burning or stinging: Some people with eczema on the lips may experience a burning or stinging sensation.
Scaling or peeling: The skin on the lips may become scaly or start to peel, especially during flare-ups.
Blisters: In severe cases, eczema on the lips may cause blisters to form, which can be painful and may ooze clear fluid.

Eczema on the lips can be particularly challenging to manage because of the constant movement of the lips and the potential for irritation from food, drinks, and lip products. It’s important to seek advice from a healthcare provider or dermatologist if you suspect you have eczema on your lips, as they can provide guidance on how to manage your symptoms and protect your lips.

What are the causes of eczema on the lips?

Eczema on the lips, also known as eczematous cheilitis or lip dermatitis, can be caused by a variety of factors, including:

Dry or sensitive skin: People with naturally dry or sensitive skin may be more prone to developing eczema on the lips.
Environmental factors: Exposure to harsh weather conditions, such as cold, dry air or strong winds, can dry out the skin on the lips and contribute to the development of eczema.
Irritants: Certain lip care products, such as lip balms, lipsticks, and toothpaste, may contain ingredients that can irritate the skin and trigger eczema on the lips.
Allergens: Allergens, such as certain foods, lip care products, or environmental allergens, can trigger an allergic reaction on the lips, leading to eczema.
Licking the lips: Frequent licking of the lips can strip the natural oils from the skin and lead to dryness and irritation, which can contribute to eczema.
Contact dermatitis: Contact with irritants or allergens, such as certain foods, metals (like nickel), or chemicals, can cause a localized reaction on the lips, leading to eczema.
Stress: Stress can weaken the immune system and increase inflammation, which may contribute to the development or exacerbation of eczema on the lips.
Infections: In some cases, bacterial or fungal infections can lead to eczema-like symptoms on the lips.

It’s important to identify and avoid triggers that can worsen eczema on the lips. Working with a healthcare provider or dermatologist can help determine the underlying cause of eczema on your lips and develop an appropriate treatment plan to manage your symptoms.

How is eczema on the lips diagnosed?

Eczema on the lips, also known as eczematous cheilitis or lip dermatitis, is typically diagnosed based on a combination of medical history, physical examination, and, in some cases, additional tests. Here’s how the diagnosis is typically made:

Medical history: Your healthcare provider will ask about your symptoms, including when they first appeared, how long they have been present, and whether anything seems to trigger or worsen them. They may also ask about your personal and family history of eczema, asthma, and allergies.
Physical examination: Your healthcare provider will examine your lips and the surrounding skin, looking for signs of eczema, such as dryness, redness, scaling, and inflammation. They may also ask about your lip care routine, use of lip products, and any potential irritants or allergens in your environment.
Patch testing: In some cases, your healthcare provider may recommend patch testing to determine if allergens in your environment may be contributing to your eczema symptoms on the lips.

Based on your medical history, physical examination, and any additional tests, your healthcare provider can make a diagnosis of eczema on the lips and develop a treatment plan tailored to your specific needs. Treatment for eczema on the lips typically involves moisturizing the skin, avoiding triggers, and using topical corticosteroids or other medications to reduce inflammation and itching.

What is the treatment for eczema on the lips?

The treatment for eczema on the lips, also known as eczematous cheilitis or lip dermatitis, aims to relieve symptoms, reduce inflammation, and improve the health of the skin. Treatment options may include:

Emollients (moisturizers): Regular use of emollients helps to keep the skin hydrated and reduce dryness and itchiness on the lips. Choose a moisturizer that is gentle and fragrance-free.
Topical corticosteroids: These are anti-inflammatory creams or ointments that can help reduce redness, itching, and inflammation on the lips. They are available in different strengths and should be used as directed by a healthcare provider.
Topical calcineurin inhibitors: These medications are non-steroidal creams or ointments that help reduce inflammation and itchiness on the lips. They are often used in sensitive areas where steroids may not be suitable, such as the lips.
Avoiding triggers: Identifying and avoiding triggers that can worsen eczema symptoms on the lips, such as harsh weather conditions, certain lip care products, and allergens, can help reduce flare-ups.
Lip balms: Using a lip balm with sunscreen can help protect the lips from further irritation and sun damage.
Corticosteroid injections: In severe cases, your healthcare provider may recommend corticosteroid injections to reduce inflammation and itching on the lips.
Antihistamines: If itching is a significant symptom, your healthcare provider may recommend taking antihistamines to help reduce itching and discomfort.

It’s important to work closely with a healthcare provider or dermatologist to develop an individualized treatment plan for eczema on the lips. They can help determine the most appropriate treatment options for your specific needs and monitor your condition to ensure that your symptoms are well-managed.

What foods make eczema on the lips worse?

Certain foods may trigger or worsen eczema symptoms in some people, although the specific foods can vary from person to person. Some common foods that may exacerbate eczema symptoms on the lips and elsewhere on the body include:

Dairy products: Some people with eczema may be sensitive to dairy products, particularly cow’s milk. Dairy products can contain hormones and proteins that may trigger inflammation and worsen eczema symptoms.
Gluten: Gluten is a protein found in wheat and other grains. Some people with eczema may have a sensitivity to gluten, which can trigger inflammation and worsen eczema symptoms.
Eggs: Eggs are a common food allergen that can trigger allergic reactions in some people, including those with eczema. Egg allergies can cause skin reactions, including eczema flare-ups.
Nuts: Nuts, especially peanuts and tree nuts, are common allergens that can trigger eczema symptoms in some people. Nut allergies can cause skin reactions, including itching, redness, and inflammation.
Soy: Soy is another common food allergen that can trigger eczema symptoms in some people. Soy allergies can cause skin reactions similar to other food allergies.
Citrus fruits: Citrus fruits, such as oranges, lemons, and limes, contain citric acid, which can be irritating to the skin and may trigger eczema flare-ups in some people.
Tomatoes: Tomatoes are a common food allergen that can trigger eczema symptoms in some people. Tomatoes contain salicylates, which are natural chemicals that can irritate the skin and worsen eczema symptoms.

It’s important to note that not everyone with eczema will have food triggers, and the foods that trigger eczema symptoms can vary widely from person to person. If you suspect that certain foods may be triggering or worsening your eczema symptoms, it may be helpful to keep a food diary and work with a healthcare provider or dietitian to identify and avoid potential triggers.

Is Vaseline good for eczema on the lips?

Vaseline, also known as petroleum jelly, can be beneficial for eczema on the lips. It is an occlusive moisturizer, which means it forms a protective barrier on the skin, helping to lock in moisture and prevent dryness. This can be particularly helpful for people with eczema on the lips, as dryness is a common symptom of the condition.

Applying Vaseline to eczema-affected lips can help soothe the skin, reduce itching, and protect it from further irritation. However, it’s important to note that while Vaseline can be a helpful part of eczema management, it may not be sufficient on its own for more severe cases. It’s often used in combination with other treatments, such as topical corticosteroids or moisturizers, as part of a comprehensive eczema treatment plan.

It’s also important to choose a hypoallergenic and fragrance-free formulation, as fragrances and other additives can irritate sensitive skin, especially in people with eczema. If you have any concerns about using Vaseline or other products on your lips, it’s best to consult with a healthcare provider or dermatologist for personalized advice.