Cheilitis is a group of various inflammatory diseases that occur on or near the lips. Their danger is that they can start the growth of atypical cells, which will ultimately lead to oncology. Abrasive precancerous cheilitis of Manganotti is a precancerous disease that causes erosions on the lips. The disease is very dangerous, as it threatens human life. The patient should immediately consult a doctor for an examination.
General information
Italian scientist Manganotti discovered a new disease in 1933. The disease was characterized by the formation of erosions on the lower lip. Basically, the disease was diagnosed in the male half of the population, in women it was much less common. The risk group included people over the age of 40. Subsequently, the disease became known as Manganotti's cheilitis.
Half the timeerosion on the lips led to oncology. That is why Manganotti's cheilitis began to be called pre-cancer, that is, precancerous. Skin defects in the disease usually affect the lips and the border near them. Cheilitis Manganotti is considered one of the most dangerous diseases from its subgroup. It is considered to be precancerous, but doctors do not know whether the disease will turn into an oncological process. Various factors can provoke the occurrence of cancer in each specific case, for example, such as work in hazardous production or mechanical damage to the mucous membranes. That is why a dangerous disease requires constant medical supervision.
Causes of occurrence
Doctors note that Manganotti's cheilitis is more often diagnosed in older people. It is believed that this may be due to age-related changes in the tissues of the lips, due to which regeneration is much slower. The most common causes of the disease:
- injuries;
- hypovitaminosis;
- herpes virus;
- diseases of the gastrointestinal tract;
- wearing dentures;
- chemical irritants;
- abuse of sunbathing.
Heilitis Manganotti most often occurs on the border of the lower lip. Provoking factors can be dental problems: the absence of some teeth or sharp chips. Improperly made prostheses are also dangerous, they can also lead to cheilitis. Smoking can cause many diseases, including Manganotti's ailment.
If the lip is constantly injured, it can lead to cheilitis. Patientsit is recommended to get rid of the habit of biting something in the mouth. Sunbathing in excessive amounts is not safe, it can cause cheilitis.
Symptoms
Usually, Manganotti's cheilitis appears on the border of the lower lip, but it can also occur in the central areas. The disease begins with 1 erosion, less often - with 2-3. Patients complain of mild pain. Symptoms of Manganotti's cheilitis:
- Non-bleeding bright red erosions on the lips.
- Skin defects come and go.
- Lips may be swollen but not inflamed.
- No more than 3 erosions, they are smooth and even.
- The person may have difficulty eating and drinking.
If the patient does not go to the doctor, Manganotti's cheilitis will eventually turn into cancer. A person should be concerned about the appearance of erosion on the lips with a perfectly flat surface. Outwardly, they look as if polished. In shape, they most often resemble an oval or circle. Erosion is not prone to bleeding, but if you tear off their top layer, it will still begin. Next to the skin defect, the tissues do not change their appearance, only occasionally swelling or redness can be observed.
Diagnosis
An experienced doctor can understand that this is Manganotti's cheilitis, based only on the appearance of the patient and his questioning. Diagnosis is rarely difficult. In doubtful cases, the doctor may recommend a smear from a pathological focus on the lip. Sometimes scrapings from ulcerated tissues may be required to clarify the diagnosis. The resulting analysis is examined under a microscope.
When diagnosing, the doctor should be able to distinguish Manganotti's cheilitis from diseases similar to it:
- systemic lupus erythematosus;
- herpes;
- pemphigus;
- lichen planus;
- leukoplakia;
- exudative erythema.
It is very important not to confuse illnesses, as the life and he alth of the patient depends on it. With Manganotti's cheilitis, a very rapid degeneration of erosions into cancerous tumors can occur. In some cases, this takes only 4-6 months. Usually, before this, a seal begins to be observed in erosion, it becomes prone to bleeding even after light abrasions.
Medicated treatment
It is very important to remove all annoying factors. If your teeth hurt, then they need to be cured. If the gums bleed, then you need to establish the cause and eliminate it. On erosion, doctors recommend applying applications. The patient is prescribed an oil solution of vitamin A for food, since it is precisely its lack that can contribute to the development of Manganotti's cheilitis. But more often doctors choose a surgical method of treatment. If this is undesirable for some reason, then medicines are used.
For the treatment of Manganotti's cheilitis, novocaine blockades and epithelializing ointments containing vitamin A are used. Drugs that improve the blood supply to small vessels give a good effect. Many doctors recommend additionally prescribing vitamin P to the patient. Also, the patientyou can prescribe ointments that have a healing effect, for example, Solcoseryl.
Surgical treatment
Manganotti's cheilitis itself, before degeneration into a cancerous tumor, does not pose a serious danger to human he alth and life. But no doctor can say for sure at what point an oncological disease will develop. In some patients, cheilitis degenerates into cancer after 5 months, in others - after 6-7 years. Usually, ulcers are first treated with medication, and then the patient is sent for surgery. Only surgery gives a real chance for a full recovery.
In the treatment of Manganotti's cheilitis, doctors excise the affected tissues, and then conduct their histological examination. If the rebirth has already begun, then a surgical solution to the problem is also recommended. Before the intervention, the patient will need to consult an oncologist. After the operation, if necessary, the doctor prescribes a course of chemotherapy. If Manganotti's chelitis has degenerated into oncology, then the patient will have a longer rehabilitation period.
Prevention
People with prosthetic teeth should be careful. This is especially true for older men, who are most prone to cheilitis. Dentures should be comfortable, it is unacceptable to endure rubbing and discomfort. Lips need to be protected even from minor injuries, they can provoke the development of the disease. At the first symptoms of the diseaseneed to go to the doctor.
During training, doctors carefully study the photo of Manganotti's cheilitis, so sometimes even a simple examination is enough to establish a diagnosis. He alth professionals advise avoiding prolonged sunbathing. All dental diseases should be treated in a timely manner, they can also contribute to the appearance of cheilitis.
Patients who are prone to illness need to devote more time to raising immunity. It is advisable not to come into contact with harmful chemicals. Women should use only quality, dermatologically tested cosmetics for their lips.
Folk treatments
Manganotti's pre-cancer cheilitis is a dangerous disease that can lead to the development of oncology. Sometimes it takes only 5-6 months to degenerate it into a cancerous tumor. It is not recommended to treat cheilitis with folk remedies without consulting a doctor. The patient may lose time, then it will be more difficult to help him. Alternative methods of treatment can only be an addition to traditional therapy.
Herbalists recommend making lotions with aloe juice. It must be mixed with vegetable oil in a ratio of 1 to 3. The drug should be applied 3 times a day. St. John's wort tampons also give a good effect. In a quarter liter of water, the patient falls asleep 3 tablespoons of grass and puts on fire for 20 minutes. After the broth is cooled and tampons are soaked in it, which are applied to the ulcers 5 times a day for 10 minutes.
Doctor's advice
If the patient has signs of cheilitisManganotti, then he needs to immediately go to the clinic. You can make an appointment with either an infectious disease specialist or a dermatologist. After the examination, when confirming the diagnosis, the patient, if necessary, is referred for a consultation with an oncologist.
Some doctors recommend doing gymnastics for the muscles of the lips and face, which will reduce the likelihood of cheilitis. A person should eat a balanced diet and monitor the state of their immunity.
