The patients is a 13-year-old girl who presents to a pediatric urgent care clinic with 1 month of scaling and fissures on her lips which began after she started using a retinoid cream prescribed for acne.            

View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

A 13-Year-Old Girl with Scaling and Fissures on Her Lips
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