Actinic cheilitis: ultraviolet rays protectors that prevent malignant progression. Report of a case
DOI:
https://doi.org/10.15332/us.v20i0.2502Keywords:
cheilitis, neoplasms, ultraviolet rays, diagnosis, lip diseasesAbstract
Actinic cheilitis is considered a potentially malignant disorder, caused by excessive and prolonged exposure to the sun, affects the vermilion border and the labial semi-mucosa, being the loss of definition between the vermilion border and the cutaneous portion of the lip, a commonly found clinical characteristic. It can present in a number of ways, including white plaque, erosion, and ulcers. The risk group is represented by people between the fourth and sixth decade of life, with Fitzpatrick phototype I and II, dedicated to working outdoors as farmers, laborers, fishermen, etc. Histologically, actinic cheilitis presents epithelial alterations that can give rise to squamous cell carcinoma, if diagnosis and treatment are not timely. The dentist is an important pillar in the early diagnosis and in the prevention of malignant transformation of this pathology, which is becoming more and more common. A case report of a male patient diagnosed with actinic cheilitis is presented, the clinical and histopathological aspects, risk factors and conservative management are described with topical use of lip balm with sun protection factors and periodic clinical evaluation, avoiding malignant progression.
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Boza Oreamuno Y, Guillén Colombari D. Queilitis actínica: Reporte de tres casos y revisión de literatura. Odovtos.2018; 20(3):33-42.
Maia HC, Pinto NA, Pereira Jdos S, de Medeiros AM, da Silveira ÉJ, Miguel MC. Potentially malignant oral lesions: clinicopathological correlations. Einstein (Sao Paulo). 2016;14(1):35-40.
Boza Y, Rojas I. Elastosis en la queilitis actínica. Revisión de literatura. Odovtos-Int J Dent Sc. 2018; 20(2):51-60. doi:10.15517/ijds.v0i0.32590
Santos RFD, Oliveira RL, Gallottini M, Caliento R, Sarmento DJS. Prevalence of and factors associated with actinic cheilitis in extractive mining workers. Braz. Dent. J. 2018; 29(2):214-221. doi: 10.1590/0103-6440201801605.
de Oliveira Ribeiro A, da Silva LC, Martins-Filho PR. Prevalence of and risk factors for actinic cheilitis in Brazilian fishermen and women. Int J Dermatol. 2014;53(11):1370-6. doi: 10.1111/ijd.12526
Boza OYV, Martínez A, Rojas IG. Evaluación histomorfométrica de la elastosis en queilitis actínica. Odovtos-Int J Dent Sc. 2016;18(3):51-59.
Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology. 3rd edition. St. Louis: Saunders ELSEVIER; 2009.
Hernández Osorio C, Fuentes Palma B, Cartes-Velásquez R. Queilitis actínica: aspectos histológicos, clínicos y epidemiológicos. Rev Cubana Estomatol. 2016;53(2):45-55.
Orozco P, Vásquez S, Venegas B, Rivera C. Prevalencia de queilitis actínica en trabajadores expuestos a radiación ultravioleta en Talca, Chile. Rev. Clin. Periodoncia Implantol. Rehabil. Oral. 2013;6(3):127-129. doi:10.4067/S0719-01072013000300005.
Mello FW, Melo G, Modolo F, Rivero ER. Actinic cheilitis and lip squamous cell carcinoma: Literature review and new data from Brazil. J Clin Exp Dent. 2019;11(1):62-69. doi:10.4317/jced.55133.
Rodríguez-Blanco I, Flórez Á, Paredes-Suárez C, Rodríguez-Lojo R, González-Vilas D, Ramírez-Santos A, et al. Actinic cheilitis prevalence and risk factors: A cross-sectional, multicentre study in a population aged 45 years and over in north-west Spain. Acta Derm Venereol. 2018;98(10):970-974. doi:10.2340/00015555-3014.
de Souza Lucena EE, Costa DC, da Silveira EJ, Lima KC. Prevalence and factors associated to actinic cheilitis in beach workers. Oral Dis. 2012;18(6):575-9. doi: 10.1111/j.1601-0825.2012.01910.x.
Carvalho MV, de Moraes SLD, Lemos CAA, Santiago Júnior JF, Vasconcelos BCDE, Pellizzer EP. Surgical versus non-surgical treatment of actinic cheilitis: A systematic review and meta-analysis. Oral Dis. 2019;25(4):972-981. doi: 10.1111/odi.12916.
Lai M, Pampena R, Cornacchia L, Pellacani G, Peris K, Longo C. Treatments of actinic cheilitis: A systematic review of the literature. J Am Acad Dermatol. 2020;83(3):876-887. doi: 10.1016/j.jaad.2019.07.106
Savage NW, McKay C, Faulkner C. Actinic cheilitis in dental practice. Aust Dent J. 2010;55 Suppl 1:78-84. doi:10.1111/j.1834-7819.2010.01202.
Ríos P, Maldonado C, Norambuena P, Donoso M. Prevalencia de queilitis actínica en pescadores artesanales, Valdivia, Chile. Int. J. Odontostomat. 2017;11(2):192-197. DOI:10.4067/S0718-381X2017000200012.
Rodriguez-Blanco I, Florez Á, Paredes-Suárez C, Rodríguez-Lojo R, González-Vilas D, Ramírez-Santos A, et al. Use of lip photoprotection in patients suffering from actinic cheilitis. Eur J Dermatol. 2019;29(4):383-386. doi:10.1684/ejd.2019.3604.










