Bilateral angular cheilitis in an elderly individual with false teeth, iron deficiency anemia and dry mouth
Pronunciation
/kaɪˈlaɪtɪs/
Specialty
Dentistry, dermatology
Symptoms
Redness, skin breakdown and crusting at the corner of the mouth[2]
Usual onset
Children, 30s to 60s[2]
Duration
Days to years[2]
Causes
Infection, irritation, allergies[2]
Treatment
Based on cause, barrier cream[2]
Frequency
0.7% of the population[3]
Angular cheilitis (AC) is inflammation of one or both corners of the mouth.[4][5] Often the corners are red with skin breakdown and crusting.[2] It can also be itchy or painful.[2] The condition can last for days to years.[2] Angular cheilitis is a type of cheilitis (inflammation of the lips).[6]
Angular cheilitis can be caused by infection, irritation, or allergies.[2] Infections include by fungi such as Candida albicans and bacteria such as Staph. aureus.[2] Irritants include poorly fitting dentures, licking the lips or drooling, mouth breathing resulting in a dry mouth, sun exposure, overclosure of the mouth, smoking, and minor trauma.[2] Allergies may include substances like toothpaste, makeup, and food.[2] Often a number of factors are involved.[2] Other factors may include poor nutrition or poor immune function.[2][5] Diagnosis may be helped by testing for infections and patch testing for allergies.[2]
Treatment for angular cheilitis is typically based on the underlying causes along with the use of a barrier cream.[2] Frequently an antifungal and antibacterial cream is also tried.[2] Angular cheilitis is a fairly common problem,[2] with estimates that it affects 0.7% of the population.[3] It occurs most often in people in their 30s to 60s, and is also relatively common in children.[2] In the developing world, iron, vitamin B12, and other vitamin deficiencies are a common cause.[5]
^Pindborg, Jens Jørgen (1973). Atlas of Diseases of the Oral Mucosa. Saunders. ISBN 9780721672649. Archived from the original on 10 September 2017. Retrieved 17 September 2014. Angular cheilosis: The lateral lip fissures, well known among denture wearers, have been called by a variety of names, such as "rhagades", "perleche", "angular cheilitis", and "angular cheilosis".
^ abcdefghijklmnopqrstuvwxPark, KK; Brodell, RT; Helms, SE (June 2011). "Angular cheilitis, part 1: local etiologies". Cutis. 87 (6): 289–95. PMID 21838086.
^ abLyons, Faye (2014). Dermatology for the Advanced Practice Nurse. Springer Publishing Company. p. 95. ISBN 9780826136442. Archived from the original on 2016-08-16.
^Scully, Crispian (2008). Oral and maxillofacial medicine : the basis of diagnosis and treatment (2nd ed.). Edinburgh: Churchill Livingstone. pp. 147–49. ISBN 9780443068188.
^ abcPark, KK; Brodell RT; Helms SE. (July 2011). "Angular cheilitis, part 2: nutritional, systemic, and drug-related causes and treatment" (PDF). Cutis. 88 (1): 27–32. PMID 21877503. Archived from the original (PDF) on 2014-04-19.
^Martin, Elizabeth (2015). Concise Medical Dictionary. Oxford University Press. p. 136. ISBN 9780199687817. Archived from the original on 2016-08-16.
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additional signs and symptoms such as pallor, oral ulceration and angularcheilitis. Iron-deficiency anemia is mainly caused by blood loss, such as may...
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hyperplastic folds/cobble-stone mucosa, ulcers, facial swelling and/or angularcheilitis Sarcoidosis: Sarcoidosis is a multi-system condition which may lead...
chapped and cracked lips, and inflammation at the corners of the mouth (angularcheilitis). Eyes can be itchy, watery, bloodshot and sensitive to light. Riboflavin...
and loss, early greying of the hair, mouth ulcers, bleeding gums, angularcheilitis, a look of exhaustion with pale and dehydrated or cracked lips and...
may be experienced. A wide range of associated symptoms may include angularcheilitis, mouth ulcers, bleeding gums, hair loss and thinning, premature greying...
stomatitis — Candida organisms are involved in about 90% of cases Angularcheilitis — Candida species are responsible for about 20% of cases, mixed infection...
describe many different conditions apart from aphthous stomatitis such as angular stomatitis. The current most widely used medical term is "recurrent aphthous...
disrupted speech, possibly manifest as lisping Sialorrhea – drooling Angularcheilitis – sores at the corners of the mouth Crenated tongue – indentations...
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