From the Guidelines
For severely chapped lips with straw-colored dermatitis around the lips, I recommend a combination approach, starting with a mild corticosteroid cream like 1% hydrocortisone applied thinly to the affected areas twice daily for 5-7 days to reduce inflammation, as supported by the management principles outlined in 1. This condition likely represents perioral dermatitis or eczematous cheilitis, which results from a combination of irritation, allergic reaction, and compromised skin barrier. Key aspects of management include:
- Using a petroleum-based lip balm like Aquaphor or Vaseline frequently throughout the day to maintain moisture, as suggested in 1 and 1, although it's crucial to note that chronic use of vaseline/white paraffin (petrolatum) on the lips can lead to mucosal cell dehydration and increase the risk of secondary infection, as warned in 1.
- Avoiding potential irritants such as flavored lip products, toothpastes with sodium lauryl sulfate, and cinnamon-containing products.
- Staying well-hydrated and using a humidifier if in dry environments to prevent further dryness and irritation.
- Practicing good oral hygiene and avoiding behaviors that can exacerbate the condition, such as licking the lips, which can introduce digestive enzymes that further irritate the skin. If symptoms don't improve within a week, or if there's worsening, crusting, or signs of infection, it's essential to consult a healthcare provider, as prescription-strength treatments like antifungals or stronger anti-inflammatory medications may be needed.
From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: ... seborrheic dermatitis Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily
The treatment for severely chapped lips with straw-colored dermatitis around the lips may be hydrocortisone (TOP), as it temporarily relieves itching associated with seborrheic dermatitis.