cheilitis

angular cheilitis (cracked corners of the mouth)

see also:

aetiology

DDx

Mx of angular cheilitis

look for and Rx cause

  • identify causes of salivary contact and Rx
    • consider barrier cream at night
    • reduce skin folds (which harbour saliva, Candida) by increasing vertical dimension of lower face
      • new dentures
      • collagen injections
  • reduce Candida loads:
    • if using dentures, ensure they are properly fitted and disinfected each night
  • FBE, iron studies, B12, folate levels
  • ensure adequate diet
  • consider HIV
  • consider allergy testing is this is most likely

Rx infection +/- dermatitis

  • topical antifungal cream with weak corticosteroids
  • consider anti-Staph Rx
cheilitis.txt · Last modified: 2014/04/10 07:03 by gary1