| Summary: | Introduction: Exfoliative cheilitis, one of a spectrum of diseases that affect the vermilion border of the lips, is uncommon
and has no known cause. It is a chronic superficial inflammatory disorder of the vermilion borders of the lips characterized
by persistent scaling; it can be a difficult condition to manage. The diagnosis is now restricted to those few patients
whose lesions cannot be attributed to other causes, such as contact sensitization or light. Case Report: We present
a 17 year-old male presented to the out clinic in Baghdad with the chief complaint of a persistent scaly on his lower
lips. The patient reported that the skin over the lip thickened gradually over a 3 days period and subsequently became
loose, causing discomfort. Once he peeled away the loosened layer, a new layer began to form again. Conclusion: The
lack of specific treatment makes exfoliative cheilitis a chronic disease that radically affects a person’s life. The aim of
this paper is to describe a case of recurrent exfoliative cheilitis successfully treated with intralesional corticosteroids
and to present possible hypotheses as to the cause.
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