<\/span><\/h2>\nAngular cheilitis is common. inflammatory<\/span> condition affecting the corners of the mouth or oral commissures. Depending on the underlying causes, it can last a few days or persist indefinitely. Also called angular stomatitis<\/span>, cheilosis and perleche (perl\u00e8che).<\/p>\n\n<\/span>Angular cheilitis<\/span><\/h5>\n<\/section>\n\n\n
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Candida<\/p>\n
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Impetigo<\/p>\n
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Candida + staphylococcus<\/p>\n<\/p><\/div>\n<\/section>\n
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See more images of angular cheilitis.<\/p>\n
<\/span>What causes angular cheilitis?<\/span><\/h2>\nAngular cheilitis is due to one or more of the following factors:<\/p>\n
\n- A saliva drip causing eczematous<\/span> cheilitis, a form of contact irritating<\/span> dermatitis<\/span>\n<\/li>\n
- A protrusion of the upper lip that produces deep grooves (puppet lines)<\/li>\n
- Dry and chapped lips<\/li>\n
- \nProliferation<\/span> of bacteria<\/span> (impetigo), yeast (thrush) or virus (cold sore).<\/li>\n<\/ul>\n
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<\/span>Who is prone to angular cheilitis?<\/span><\/h2>\nAngular cheilitis is common and affects children and adults, especially when they are in poor health. Predisposing factors include:<\/p>\n
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Oral candidiasis: childhood, old age, diabetes, systemic<\/span> use of corticosteroids or antibiotics<\/li>\n- Dentures, especially if they don't fit well, and there is an associated gum recession<\/li>\n
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Poor nutrition: celiac disease, iron deficiency, riboflavin deficiency<\/li>\n
- Systemic disease, particularly inflammatory bowel disease (ulcerative colitis<\/span> and Crohn's disease)<\/li>\n
- Sensitive skin, especially atopic<\/span> dermatitis\n<\/li>\n
- \nGenetic<\/span> predisposition<\/span>, for example in Down syndrome<\/span>\n<\/li>\n
- Oral retinoid<\/span> medication: isotretinoin for acne, acitretin for psoriasis.<\/li>\n<\/ul>\n
It is made worse by licking lips.<\/p>\n
<\/span>What are the clinical features of angular cheilitis?<\/span><\/h2>\nAngular cheilitis can cause the following symptoms and signs at the corners of the mouth:<\/p>\n
\n- Painful cracks \/fissures<\/span>\n<\/li>\n
- Blisters, erosions<\/span>oozing crust<\/span>\n<\/li>\n
- Redness<\/li>\n
- Bleeding<\/li>\n<\/ul>\n
Can progress to more extended<\/span> impetigo or candidiasis in the adjacent<\/span> skin and elsewhere.<\/p>\n<\/span>What investigations can be done in angular cheilitis?<\/span><\/h2>\nthe culture<\/span> Swabs taken from the corners of the mouth may reveal:<\/p>\n\n- Candida albicans<\/em><\/li>\n
- Staphylococcus aureus<\/em><\/li>\n
- Herpes Simplex<\/em><\/li>\n<\/ul>\n
Skin biopsy<\/span> It is not usually necessary.<\/p>\n\n
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<\/span>What is the treatment of angular cheilitis?<\/span><\/h2>\nIn many cases, no treatment is needed and angular cheilitis resolves on its own. Depending on the specific cause, the following treatments may be helpful:<\/p>\n
\n- Lip balm or thick emollient<\/span> ointment<\/span>, applied frequently<\/li>\n
- \nCurrent<\/span> antiseptics\n<\/li>\n
- Topical or oral antibiotic antistaphylococcal\n<\/li>\n
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Topical antifungal cream<\/span>\n<\/li>\n- \n
Oral antifungal medication<\/li>\n
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Topical steroid ointment<\/li>\n
- Nutritional supplements<\/li>\n
- Filler injections or implants to build the oral commissures.<\/li>\n
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Botulinum toxin<\/span> to smooth the lines.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"\u00bfQu\u00e9 es la queilitis angular? La queilitis angular es com\u00fan. inflamatorio condici\u00f3n que afecta las comisuras de la boca o las comisuras orales. Dependiendo de las causas subyacentes, puede durar…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6971","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6971"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6971\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}