不可否认:干燥,裂开,发痒的嘴唇可能不舒服。
尽管大多数时候发痒的嘴唇只是您需要投资更好的润唇膏的标志,但有时持续的刺痛感可能表明了更严重的健康问题。
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Here,Y. Claire Chang,医学博士, a board-certified dermatologist at Union Square Laser Dermatology, discusses the most common causes of itchy lips, plus从瘙痒中找到缓解的方法。
Tip
当您的嘴唇受到刺激时,您可能会冲动。但是,抵制摩擦的冲动,这只会使您的嘴唇发红并发炎。
1.你患有cheilitis
Chang博士说:“ Cheilitis(或Chapped Lips)是一个普遍的伞术,描述了嘴唇的炎症,通常会出现发红,干燥,开裂,剥落和瘙痒。”
根据克利夫兰诊所。
Chang博士说,这种常见的炎症性唇部疾病可以由许多诸如慢性唇舔或感染等许多东西触发。“芝利炎的普遍原因较少,包括营养缺乏症,包括维生素b她补充说,她补充说。
Fix it: Treatment depends on the underlying cause. For example, if you have infection-related cheilitis, your dermatologist might prescribe an anti-fungal cream to cure your itch.
Or if you’re a lip licker, you can learn to limit the habit and use topical barriers (like petroleum jelly and otheremollients, i.e., substances that moisten and soften your skin). Topical steroids can also help heal the inflammation, Dr. Chang says.
据克利夫兰诊所,其他久经考验的嘴唇疗法的技巧包括:
- 保持水分
- Use lip balm or ointment as needed throughout the day
- 户外时涂上润唇膏和防晒霜
- 将异物远离嘴(笔,珠宝,金属物体等)
- 用一个humidifier
2.您患有过敏性接触性皮炎
Allergic contact cheilitis is allergic contact dermatitis that affects the lips. Caused by contact with an irritating substance or an allergic response to it, contact dermatitis develops into an itchy, uncomfortable rash, according to theMayo Clinic。
Chang博士说:“这个不愉快的唇部问题会在嘴唇上或周围产生湿疹状的反应”,导致干燥,缩放和开裂。
根据Chang博士,常见的刺激或过敏性触发因素包括:
- Lipsticks, lip balms and other cosmetics
- 在其他牙科材料/产品中发现的牙膏,漱口水和金属
- 香水
- 防腐剂
- Certain foods (for example, mango, citrus fruits and cinnamon)
- 某些药物
Fix it: “Avoiding the allergen or irritant is the best prevention and treatment,” Dr. Chang says. To help identify your particular triggers, she suggests speaking to your doctor about patch testing.
Patch testing involves placing sticky patches — which contain small traces of possible allergens — on your skin. If you develop a skin reaction to a particular patch, this may indicate that a certain substance is creating an allergic response.
Chang博士说,与此同时,您可以用局部类固醇舒缓发痒的嘴唇,从而立即缓解。
3. You’re Taking a Certain Medication
您的嘴唇发痒可能与药柜里的东西有关。是的,某些药物会在您的嘴唇上产生刺痛的反应。Chang博士说,这称为与药物有关的芝利炎。
她说,一些常见的罪魁祸首包括类类视感(例如异维诺蛋白,丙型蛋白和睾丸),抗逆转录病毒药物(例如蛋白酶抑制剂),锂和化学疗法剂。
Fix it:如果您怀疑您的药物正在煽动您的唇部发痒问题,请咨询您的医生,该医生可以调整您的剂量或开出您的替代药物。Chang博士说,当切换到其他药物时,“经常使用局部润肤剂可以帮助”。
4.你有湿疹
特应性皮炎(也称为湿疹)是一种慢性病,会产生干燥,发痒和发炎的皮肤。它可以在身体上的任何地方(包括嘴唇)发育。
Chang博士说:“那些特应性皮炎的人可能患有特应性芝利炎。”她说:“这些患者倾向于有特纳的个人或家族病史[即,出现过敏性疾病的遗传易感性],包括湿疹,花粉症和哮喘。”
Chang补充说,嘴唇上有湿疹的人加上侮辱,也更容易出现过敏或刺激性接触性芝利炎。
Fix it:如果湿疹会影响您的嘴唇,请与皮肤科医生交谈。Chang博士说:“治疗(通常)包括频繁使用和局部类固醇。”
5.您有单纯疱疹病毒
口腔疱疹爆发可能是您发痒的嘴唇的起源。
"Herpes labialis, commonly known as cold sores or fever blisters, are lip lesions that occur due to herpes simplex virus (HSV) infection," Dr. Chang says.
Herpes simplex 1 (HSV-1), the virus that causes cold sores, spreads through affected saliva or skin, according to the克利夫兰诊所。这意味着您可以通过亲吻或共享食物用具,润唇膏或剃须刀收缩。
Chang博士说:“唇疱疹通常会出现小水泡和嘴唇周围或周围的结层,并与刺痛,燃烧或发痒的感觉有关,这些感觉甚至在水泡发作之前就会发生。”
她说,某些因素可能会增加发热水泡的频率。这些包括:
- 最近发烧或疾病
- 疲劳
- 情绪压力
- Excessive sun exposure
- Menstruation
- Immune suppression
修理它:Unfortunately, there’s no cure for herpes. “Once infected with HSV, the virus remains dormant within the nerves and can be reactivated to cause recurrent symptoms,” Dr. Chang says.
But there are ways to make outbreaks more manageable. “Oral antivirals can be prescribed early in the course to decrease the duration and severity of cold sores,” Dr. Chang says. Topical anesthetics may also help alleviate symptoms.
And if you have a mild bout of fever blisters, you may be fine without meds entirely.
6. You Have Oral Thrush
真菌感染可能会引起您嘴唇的瘙痒。
"Oral thrush or candidiasis is a common oral yeast infection that is most commonly caused by an overgrowth of a fungal organism called candida albicans," Dr. Chang says.
Normally, candida fungus lives in your mouth without producing any problems, according to theMayo Clinic。但是,当您的系统变得不平衡时,它可能导致真菌过度生长并促进不愉快的症状。
除了强烈的瘙痒外,张博士还指出,口腔鹅口疮还可以在口腔内部产生以下问题:
- Sensitivity or a burning sensation
- 白色的黄色,类似凝乳的斑块
- 红色,发炎的区域
"A candida overgrowth can also cause angular cheilitis, which results in crusty, red, inflamed areas in the corners of the mouth," Dr. Chang adds.
Some people are more prone to oral thrush. For example, your risk for candidiasis increases if you take certain medications (including steroid inhalers or topicals and antibiotics), if you wear dentures or if you're immunosuppressed, Dr. Chang says.
Fix it:念珠菌病可以由医生或牙医诊断。Chang博士说:“口服鹅口疮和角度芝利炎可以用局部或口服抗真菌性治疗。”
7. You Have Hives
荨麻疹 - 一种导致发痒的皮肤反应 - 可能发生在您体内的任何地方,包括嘴和嘴唇。张博士说,这种刮擦的皮疹通常是由于特定的触发因素而发生的。
这是一些最常见的美国过敏,哮喘和免疫学学院(ACAAI):
- 一些食物(尤其是花生,鸡蛋,坚果和贝类)
- 药物,例如抗生素(尤其是青霉素和硫酸),阿司匹林和布洛芬
- Insect stings or bites
- 身体刺激,例如压力,冷,热,运动或阳光暴露
- Latex
- 输血
- Bacterial infections, includingurinary tract infections和链球菌的喉咙
- 病毒感染,包括普通感冒,感染性单核细胞增多症和肝炎
- 宠物皮屑
- Pollen
- 一些植物
这些触发因素会导致您的免疫系统释放产生发痒的皮疹的化学物质(例如组胺)。
"Hives present with red, edematous [i.e., swollen with fluid] and itchy lesions that typically last less than 24 hours," Dr. Chang says.
Chang博士说,除了刮擦外,荨麻疹也可能与血管性水肿有关,眼睛,脸颊,嘴唇和舌头周围肿胀。她补充说,血管性水肿会影响或限制您的呼吸,可能需要急诊护理。
警告
如果您遇到蜂箱,伴有头晕,舌头,嘴唇,嘴巴或喉咙肿胀,或者呼吸困难,请立即进行医疗护理。这些也许是过敏反应的早期迹象,这是严重的,可能是致命的过敏反应。
修理它:The best treatment for hives is prevention. In other words, avoid your triggers. When that’s not possible, hives can be treated with antihistamines and, sometimes, steroids, Dr. Chang says.
8.你有精光性芝利炎
Chang博士说,另一个发痒,发炎的嘴唇,光化性芝利炎的来源是由长期暴露于阳光的长期导致的。
Since the skin on your lips is thinner and has less pigment than other areas of skin on your body, it's more susceptible to sun damage, according to the克利夫兰诊所。这就是为什么克利夫兰诊所(Cleveland Clinic)的某些人(包括皮肤白皙的人,户外工人,老年人,有白化病的人以及任何住在太阳更强壮的地区的人)更有可能获得精光症状炎。
While it typically affects the lower lip, you may experience the following symptoms in one or both lips, per the Cleveland Clinic:
- Dry, scaly or sandpaper-like skin
- Chapped, cracked, crusty skin
- White or yellow discolored patches of skin
- 肿胀,瘦或脆弱的皮肤
- Burning or numbness
- Pain, soreness or tenderness
Fix it克利夫兰诊所称,光化性芝利炎被认为是癌前的疾病,因为它最终可以发展为一种称为鳞状细胞癌的皮肤癌。因此,适当的治疗至关重要,以防止恶性肿瘤。
如果您有上述任何症状,请定期查看您的皮肤科医生,他们可以监视您是否有癌症的预警信号。
Chang博士说:“为了降低皮肤癌的风险,可以用局部化疗或冷冻疗法治疗放光性芝利炎。”
When Should You See a Doctor About Itchy Lips?
通常,您通常可以使用局部润肤剂或保湿剂自行减轻嘴唇。Chang博士说,如果这些策略不有效“或者您有其他相关症状(例如肿胀或出血),则应咨询医生以评估原因并适当地对待。”
这是紧急情况吗?If you are experiencing serious medical symptoms, please see the国家医学图书馆名单of signs you need emergency medical attention or call 911.