Differential Diagnosis for Labial Burning
- Single most likely diagnosis
- Burning Mouth Syndrome (BMS): This condition is characterized by a burning sensation in the mouth, including the lips, without any visible signs of oral disease. It's a common condition that can be caused by various factors, including hormonal changes, nutritional deficiencies, and psychological factors.
- Other Likely diagnoses
- Dry Mouth (Xerostomia): Reduced saliva production can cause a burning sensation on the lips and in the mouth. This can be due to medications, systemic diseases, or radiation therapy.
- Oral Lichen Planus: An autoimmune condition that can cause burning, pain, and white patches in the mouth, including the lips.
- Allergic Contact Stomatitis: An allergic reaction to substances like toothpaste, mouthwash, or dental materials can cause burning and inflammation on the lips and in the mouth.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Oral Cancer: Although rare, oral cancer can present with burning or painful sensations in the mouth, including the lips. Early detection is crucial for effective treatment.
- Erythema Multiforme: A severe skin and mucous membrane disorder that can cause burning, blistering, and ulcers in the mouth and on the lips.
- Sjögren's Syndrome: An autoimmune disorder that can cause dry mouth and eyes, and may also lead to burning sensations in the mouth and lips.
- Rare diagnoses
- Pemphigus Vulgaris: A rare autoimmune disease that causes blistering of the skin and mucous membranes, including the lips and mouth.
- Geographic Tongue: A condition characterized by the appearance of single or multiple, well-demarcated areas of erythema and depapillation on the tongue, which can sometimes cause a burning sensation that may radiate to the lips.
- Nutritional Deficiencies (e.g., Vitamin B12 deficiency): Certain nutritional deficiencies can cause oral symptoms, including burning sensations on the lips and in the mouth.