White spots on upper lip

[Henna73]

Over 2 years ago I started feeling a gritty sensation when I rubbed my lips together as well as some minor irritation (not painful or itchy, just a slight stinging feeling). Immediately after I noticed a cluster of white spots just on the inside of my upper lip (minimal on my lower). I have attached a photo to see if anyone recognizes what this condition might be. I attached a photo, though not sure if the white spots are vivid enough on it. I would describe it more as a blotch or discoloration (since the spots are not raised, nor crusted over). Thought it might be an allergy all of a sudden to lipstick, but I have stopped using lip gloss and color altogether yet I'm still experiencing these spots almost 2 years later.
I know only a doctor can tell me what they are but I would like to hear from anyone who may have had some experience with this type of condition.

[Bhupinder Kaur, MD]

Hello,
Although the condition that you are having may resemble Fordyce spots but they are not contagious and your partner is showing similar symptoms. Fordyce spots are yellowish-white granules on the inner surface and border of the lips. They are non-infectious and a natural occurrence on the body.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Henna73]

Thank you for your response. I researched your suggestions. I wasn't able to find much of a similarity between mucocele, fungal infection, nor actinic cheilitis and what I'm experiencing. Lichen planus might be a possibility. Ultimately I found that I identify most with Fordyce Spots (in appearance and in symptoms). The things that has me a little confused though is that my husband seems to have these spots now. I understand Fordyce Spots are non-contagious. It may be coincidence that he has them (and considering they are common) but I find it interesting.

[Bhupinder Kaur, MD]

Hello,
From the symptoms these white spots can be due to Fordyce spots, mucocele if found on the inside of lips, fungal infection, lichen planus or actinic cheilitis.
Actinic cheilitis is a form of cheilitis which is the counterpart of actinic keratosis of the skin. Without examination and biopsy, it is very difficult to confirm a diagnosis and hence I suggest you to get a biopsy skin done.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.