黏膜医学教学（中山大学）6月6日 2013学年2009级唇舌疾病（英）七年制.pptxVIP

Diseases Involving Lips and Tongue Tong WuGuanghua School of StomatologySun Yat-sen UniversityWhose lips are more beautiful?Healthy and beautifulAbnormal and unsightlyPart ⅠCheilitis (唇炎）a broad term that describes inflammationof the lip surface characterized by specificclinical and pathological presentations一组在唇部及唇周皮肤有相对独特临床和病理表现的黏膜疾病CheilitisActinic cheilitis (光化性唇炎）Cheilitis glandularis （腺性唇炎）Cheilitis of benign lympholasis（良性淋巴增生性唇炎）Granulomatosa cheilitis （肉芽肿性唇炎）Chronic cheilitis （慢性唇炎）Actinic cheilitis (光化性唇炎）1. Aetiology : excessive and chronic exposure to sunlight2. Clinical presentations acute – eczematic erosive (湿疹糜烂性）cheilitis chronic – desquamative (脱屑性) cheilitis Actinic cheilitis (acute)Occur immediatelyafter the day beingexcessively exposed tosunlight ，look likeeczematic cheilitis，characterized byedema（水肿）, blister（疱）, erosion, crusts（痂壳）Acute actinic cheilitisActinic cheilitis (chronic)Occur after chronicexposure to the sunlight;continuous productionand desquamation ofunsightly, thick scales ofkeratin; white squama（鳞屑） like chaff (糠皮）; when removed,these leave a normalappearing lip beneath Actinic cheilitis (chronic)Squame;Skin-vermilion boundary(皮肤唇红界） is unclear.反复发作唇红部黏膜增厚、干燥、皲裂、鳞屑口周皮肤色素失禁，形成带状皮炎可并发皮肤日光性湿疹长期不愈者-局限性唇红黏膜增厚-疣状增生-鳞癌 (癌前状态)Chronic actinic cheilitisCheilitis glandularis (腺性唇炎）1. Aetiologyunknown2. Clinical featuresCheilitis glandularisObvious, granular,mucoid-secretingductal orifices （黏液腺导管开口） alongthe mucosal-vermilionboundary（黏膜唇红界） Classical beads ofsaliva appear on thesurface of the lips likedewdrops, especiallyupon pressingCheilitis glandularisMany submucouslabial salivary glandscan be palpable andfeel like granularnodusStickiness of thelips and a feeling ofthe lips being stucktogether in themorning. Lipscovering with a clear,sticking substancecheilitis glandularisCheilitis glandularis (腺性唇炎）3、Histopathologic presentations hyperplasia（增生） of labial salivaryglands、ductal ectasia（扩张）Cheilitis of benign lympholasis（良性淋巴增生性唇炎）1、Aet