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Initially, the corners of the mouth develop a gray-white thickening and adjacent erythema (redness). [2] Later, the usual appearance is a roughly triangular area of erythema, edema (swelling) and breakdown of skin at either corner of the mouth. [2] [4] The mucosa of the lip may become fissured (cracked), crusted, ulcerated or atrophied.
Herpes labialis (cold sore) is a common cause of infectious cheilitis. [20] A lesion caused by recurrence of a latent herpes simplex infection can occur in the corner of the mouth, and be mistaken for other causes of angular cheilitis. In fact this is herpes labialis, and is sometimes termed "angular herpes simplex".
The inflammation and cracking can open the door to painful sores, she says, and you might notice more pain when you open or close your mouth. In the most severe cases, some people have a bad taste ...
The commissure is the corner of the mouth, where the vermillion border of the superior labium (upper lip) meets that of the inferior labium (lower lip). The commissure is important in facial appearance, particularly during some functions, including smiling. As such it is of interest to dental surgeons.
Lip Licker's dermatitis can also be confused with Angular cheilitis which can present as similar symptoms around the mouth as erythema or ulcerations. The difference is, lip licker's dermatitis often spares the corner of the mouth while Angular cheilitis results in crusting at the corners of the mouth caused by irritant or allergy. [31]
Local anesthesia is not required, but treatment of the entire lip can be quite painful. Cure rates in excess of 96% have been reported. Cryosurgery is the treatment of choice for focal areas of actinic cheilitis. Electrosurgery is an alternate treatment, but local anesthesia is required, making it
Rare reinfections occur inside the mouth (intraoral HSV stomatitis) affecting the gums, alveolar ridge, hard palate, and the back of the tongue, possibly accompanied by herpes labialis. [14] A lesion caused by herpes simplex can occur in the corner of the mouth and be mistaken for angular cheilitis of another cause.
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