Some cases of exfoliative cheilitis are thought to represent factitious damage, termed "factitious cheilitis" or "artifactual cheilitis", and are related to repetitive lip picking or licking habits.
Certain instances of exfoliative cheilitis may be a result of self-inflicted harm, known as "factitious cheilitis" or "artifactual cheilitis," and are associated with habitual lip picking or licking behaviors.