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Actinic cheilitis

This is a premalignant condition of the lower lip vermilion itself, whereas lip-licker's dermatitis is an irritant reaction on the perioral skin surrounding the lips.

Angular cheilitis

This is inflammation specifically at the corners of the mouth, not the broader area around the lips affected by tongue contact.

Contact dermatitis

Allergic contact dermatitis would be in a pattern matching the allergen (e.g., lipstick, toothpaste), not the characteristic distribution of where the tongue can reach.

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