Angular Cheilitis

Angular cheilitis, also known as angular stomatitis, is a common condition that affects the corners of the mouth. It is caused by a fungal or bacterial infection, and is characterized by redness, swelling, and cracking of the skin. It can be painful and can cause difficulty eating and speaking.

Causes of Angular Cheilitis

Angular cheilitis is caused by a fungal or bacterial infection. It is most commonly caused by the fungus Candida albicans, which is found naturally on the skin. Other causes include bacteria, such as Staphylococcus aureus, and viruses, such as herpes simplex virus.

Risk Factors for Angular Cheilitis

Certain factors can increase the risk of developing angular cheilitis. These include:

• Dry mouth
• Poor oral hygiene
• Ill-fitting dentures
• Smoking
• Allergies
• Vitamin deficiencies
• Immune system disorders

Diagnosis of Angular Cheilitis

Angular cheilitis is usually diagnosed based on a physical examination. Your doctor may take a swab of the affected area to test for the presence of bacteria or fungi. In some cases, a biopsy may be necessary to confirm the diagnosis.

Prevention of Angular Cheilitis

Angular cheilitis can be prevented by practicing good oral hygiene, avoiding smoking, and using a lip balm or moisturizer to keep the lips hydrated. If you wear dentures, make sure they fit properly and clean them regularly.

Common Symptoms of Angular Cheilitis

• Redness and swelling at the corners of the mouth
• Cracking and peeling of the skin at the corners of the mouth
• Pain or burning sensation at the corners of the mouth
• Itching or irritation at the corners of the mouth
• White patches or sores at the corners of the mouth
• Dryness or flaking of the skin at the corners of the mouth

When to See a Doctor

If you experience any of the symptoms of angular cheilitis, it is important to see a doctor for diagnosis and treatment. In some cases, the condition can be caused by an underlying medical condition, such as an allergy or nutritional deficiency, and it is important to get these conditions treated in order to prevent the condition from worsening. Your doctor may also recommend a topical cream or ointment to help reduce the symptoms of angular cheilitis.

Dryness

One of the most common causes of angular cheilitis is dryness. This can be caused by a variety of factors, including cold weather, wind, and dehydration. Dryness can cause the skin around the mouth to become cracked and irritated, leading to angular cheilitis.

Allergies

Allergies can also be a cause of angular cheilitis. Allergies to certain foods, cosmetics, or other substances can cause the skin around the mouth to become irritated and inflamed. This can lead to angular cheilitis.

Infections

Infections can also be a cause of angular cheilitis. Bacterial or fungal infections can cause the skin around the mouth to become inflamed and irritated, leading to angular cheilitis. These infections can be caused by poor hygiene, or by coming into contact with contaminated surfaces.

Nutritional Deficiencies

Nutritional deficiencies can also be a cause of angular cheilitis. A lack of certain vitamins and minerals, such as vitamin B2, iron, and zinc, can cause the skin around the mouth to become dry and cracked, leading to angular cheilitis.

Medications

Certain medications can also be a cause of angular cheilitis. Some medications, such as isotretinoin, can cause the skin around the mouth to become dry and cracked, leading to angular cheilitis.

Dental Appliances

Dental appliances, such as dentures, can also be a cause of angular cheilitis. These appliances can cause the skin around the mouth to become irritated and inflamed, leading to angular cheilitis.

What is Involved in Diagnosing Angular Cheilitis?

When diagnosing angular cheilitis, your healthcare provider will first take a medical history and ask about your symptoms. They may also perform a physical examination of the affected area. In some cases, they may take a sample of the affected skin to test for bacteria or fungi.

Your healthcare provider may also ask about any medications you are taking, as some medications can cause or worsen angular cheilitis. They may also ask about any recent dental work, as this can sometimes be a cause of angular cheilitis.

Treatment for Angular Cheilitis

Once your healthcare provider has diagnosed angular cheilitis, they will recommend a treatment plan. This may include topical medications, such as antifungal creams or ointments. In some cases, oral medications may be prescribed. Your healthcare provider may also recommend lifestyle changes, such as avoiding certain foods or using a humidifier.

It is important to follow your healthcare provider’s instructions and take all medications as prescribed. If your symptoms do not improve or worsen, contact your healthcare provider for further evaluation.

Symptoms

Describe your symptoms to your doctor. Be sure to mention any redness, swelling, cracking, or pain in the corners of your mouth. Also, tell your doctor if you have any other symptoms, such as fever, fatigue, or a sore throat.

Medical History

Your doctor will want to know about your medical history. Tell your doctor if you have any other medical conditions, such as diabetes, HIV, or an autoimmune disorder. Also, let your doctor know if you are taking any medications, including over-the-counter medications, vitamins, or supplements.

Risk Factors

Your doctor will also want to know about any risk factors you may have for angular cheilitis. These include smoking, poor nutrition, and a weakened immune system. Tell your doctor if you have any of these risk factors.

Treatment Options

Your doctor will discuss treatment options with you. Treatment may include topical medications, oral medications, or lifestyle changes. Your doctor may also recommend that you see a dermatologist or an oral surgeon for further evaluation and treatment.

Follow-up Appointments

Your doctor may recommend follow-up appointments to monitor your progress. Be sure to keep all of your follow-up appointments and let your doctor know if your symptoms worsen or if you have any new symptoms.

Antifungal Creams

Antifungal creams are the most common treatment for angular cheilitis. These creams contain active ingredients such as clotrimazole, miconazole, or terbinafine, which help to kill the fungus that is causing the infection. These creams should be applied directly to the affected area twice a day for several weeks, or until the symptoms have cleared up.

Oral Antifungal Medications

In some cases, a doctor may prescribe an oral antifungal medication to treat angular cheilitis. These medications are usually taken for several weeks, and can help to clear up the infection more quickly than topical creams. However, they can also cause side effects such as nausea, vomiting, and diarrhea.

Antibiotics

If the angular cheilitis is caused by a bacterial infection, a doctor may prescribe antibiotics. These medications can help to clear up the infection quickly, but they can also cause side effects such as nausea, vomiting, and diarrhea. It is important to take the full course of antibiotics as prescribed by the doctor, even if the symptoms have cleared up.

Moisturizers

Moisturizers can help to soothe the skin and reduce the discomfort caused by angular cheilitis. Look for products that contain ingredients such as petrolatum, lanolin, or dimethicone, which can help to keep the skin hydrated and reduce irritation. Apply the moisturizer to the affected area several times a day.

Home Remedies

There are also several home remedies that can help to relieve the symptoms of angular cheilitis. Applying a warm compress to the affected area several times a day can help to reduce swelling and discomfort. Applying a mixture of honey and cinnamon to the area can also help to reduce inflammation and speed up healing. Finally, avoiding foods that are high in acid, such as citrus fruits, can help to reduce irritation.

Angular cheilitis can be a very uncomfortable condition, but fortunately there are several treatments available to help relieve the symptoms. Talk to your doctor to find out which treatment is right for you.

What Causes Angular Cheilitis?

Angular cheilitis is caused by a bacterial or fungal infection. It can also be caused by a combination of both. The most common cause is a type of yeast called Candida albicans. This yeast is normally found in the mouth, but it can overgrow and cause an infection. Other causes include bacteria, such as Staphylococcus aureus, and viruses, such as herpes simplex virus.

How is Angular Cheilitis Treated?

Angular cheilitis can be treated with topical medications, such as antifungal creams or ointments. These medications can help reduce the inflammation and itching associated with the condition. Oral medications, such as antifungal pills, may also be prescribed. In some cases, a combination of both topical and oral medications may be necessary to treat the condition.

What Are the Side Effects of Medications Used to Treat Angular Cheilitis?

The side effects of medications used to treat angular cheilitis vary depending on the type of medication used. Common side effects of topical medications include skin irritation, burning, and itching. Oral medications may cause nausea, vomiting, and diarrhea. It is important to talk to your doctor about any side effects you may experience while taking medications for angular cheilitis.

What to Eat

A healthy diet for angular cheilitis should include plenty of fresh fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating foods that are rich in vitamins and minerals can help reduce inflammation and promote healing. Some foods that may be beneficial for angular cheilitis include:

• Leafy greens, such as spinach and kale
• Berries, such as blueberries and strawberries
• Citrus fruits, such as oranges and grapefruits
• Nuts and seeds, such as almonds and chia seeds
• Whole grains, such as oats and quinoa
• Lean proteins, such as fish and chicken
• Healthy fats, such as olive oil and avocados

What to Avoid

Certain foods and drinks may worsen the symptoms of angular cheilitis. It is best to avoid processed foods, sugary snacks, and foods that are high in saturated fat. Some foods and drinks to avoid include:

• Refined grains, such as white bread and pasta
• Sugary snacks, such as candy and cookies
• Processed meats, such as bacon and sausage
• Fried foods, such as french fries and onion rings
• Alcoholic beverages, such as beer and wine
• Caffeinated beverages, such as coffee and soda

Eating a healthy diet may help reduce the symptoms of angular cheilitis and prevent flare-ups. It is important to talk to a doctor or nutritionist for personalized dietary advice.

Keep the Area Clean and Dry

The first step in managing angular cheilitis is to keep the area clean and dry. This means washing the area with a mild soap and water twice a day and drying it thoroughly. Avoid using harsh soaps or cleansers, as they can irritate the skin and make the condition worse.

Avoid Irritants

Certain foods and products can irritate the skin and make angular cheilitis worse. Avoid foods that are acidic, spicy, or salty, as these can cause further irritation. Also, avoid lip balms and other products that contain fragrances or dyes, as these can also irritate the skin.

Moisturize the Area

Keeping the area moisturized is important for preventing angular cheilitis. Use a gentle, fragrance-free moisturizer to keep the skin hydrated and reduce the risk of cracking. You can also apply a thin layer of petroleum jelly to the area to help keep it moisturized.

Protect the Area from the Sun

Exposure to the sun can make angular cheilitis worse, so it’s important to protect the area from the sun’s rays. Wear a wide-brimmed hat or use a lip balm with SPF when you’re outside to protect the area from the sun’s UV rays.

See a Doctor

If lifestyle changes don’t help reduce the symptoms of angular cheilitis, it’s important to see a doctor. A doctor can diagnose the condition and recommend treatments that can help reduce the symptoms and prevent it from coming back.