West China Journal of Stomatology ›› 2021, Vol. 39 ›› Issue (2): 238-244.doi: 10.7518/hxkq.2021.02.019
Received:
2020-07-17
Revised:
2020-12-08
Online:
2021-04-01
Published:
2021-04-09
Contact:
Jiang Lu
E-mail:doctor6379@163.com;jianglu@scu.edu.cn
Supported by:
CLC Number:
Qiu Xuemei, Jiang Lu. New diagnostic classification of cheilitis and its clinical diagnostic pathway[J]. West China Journal of Stomatology, 2021, 39(2): 238-244.
Tab 1
Comparison of existing classification of cheilitis
项目 | Liborija Lugovi?-Mihi?分类 | Amanda Oakley分类 |
---|---|---|
分类 标准 | 1)可逆性唇炎:单纯性唇炎、口角炎或感染性唇炎、接触性唇炎或湿疹性唇炎、剥脱性唇炎、药物相关性唇炎 2)持久性唇炎:光化性唇炎、肉芽肿性唇炎、腺性唇炎、浆细胞性唇炎 3)与特殊疾病和全身疾病相关性唇炎:红斑狼疮、扁平苔藓、血管神经性水肿、疱病、口干症、多形红斑、克罗恩病、结节病等 | 1)感染或皮肤状况引起的唇炎:单纯疱疹、口角炎、肉芽肿性唇炎、颌面部肉芽肿病、克罗恩皮肤病、光化性唇炎、剥脱性唇炎、腺性唇炎、苔藓样唇炎、皮肤红斑狼疮相关性唇炎 2)由过敏、毒素、药物、外伤引起的唇炎:湿疹性唇炎、接触过敏性唇炎、色素性接触性唇炎、音乐人唇炎、唇膏和其他唇膏护理产品的接触反应、刺激性接触性皮炎、变应性接触性皮炎、吸烟及其对皮肤的影响、晒伤、异维甲酸治疗、阿维A治疗、义齿性口炎 3)营养不良引起的唇炎:维生素B缺乏相关性唇炎、铁缺乏相关性唇炎。 |
优点 | 从病程、临床转归及与特殊疾病和全身疾病的相关性出发进行分类,有利于对病程和预后的判断以及建立唇炎与全身情况关系的整体思维 | 从病因出发对唇炎进行分类,有利于对不同唇炎发病机制的理解并采取针对性的治疗与预防管理 |
缺点 | 不同分类间的病种有重叠,导致分类不准确。如肉芽肿性唇炎在分类中归为持久性唇炎,该病也属于与全身疾病相关性唇炎 | 难以涵盖所有类型唇炎,且对于病因不明确或涉及多因素的唇炎会导致分类不准确的情况 |
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