Saturday, March 13, 2010

Classification of angular cheilitis

Angular cheilitis refers to the upper and lower lip inflammation of the joint took place, there is erosion, chapped and other symptoms, also known as mouth erosion. Causes of malnutrition due to be divided into different angular cheilitis, angular cheilitis cocci, fungal angular cheilitis.




Malnutrition angular cheilitis in nutritional deficiency and a lack of vitamin B family who often happen to a lack of vitamin B family the most common cause of angular cheilitis. Showed bilateral numbness of the mouth wet white, erosion or ulceration, with horizontal groove cracking Shenzhe from mouth to mouth or mouth-week skin, mucous membrane extending groove cracking the depth of different lengths, pain is not obvious, mouth irritation and pain often . Often accompanied by lip dry, crack, occasionally scales, lips slightly swollen. Dorsal tongue smooth, filiform papilla atrophy, edema and hypertrophy of the fungiform papillae scattered, often tongue Indented edge. Is also often accompanied by cheilitis, glossitis. Treatment should be to enhance nutrition supplement vitamin B.



Coccus angular cheilitis is due to Streptococcus, Staphylococcus infections caused by angular cheilitis. Common in elderly patients without teeth. Showed bilateral numbness of the mouth wet white, erosion or ulceration, with horizontal cracks, but also suppuration, bleeding, crusting. After the treatment they should be cleaned with antibiotics (such as erythromycin ointment) erasure, while oral broad-spectrum antibiotics, penicillin V potassium tablets are available, sulfa drugs, such as oral spiramycin.



Fungal angular cheilitis is due to fungi (mainly Candida albicans) infections caused by angular cheilitis. Showed bilateral numbness of the mouth wet white and white is more obvious, there is erosion or ulceration, with horizontal cracks, there may be festering, bleeding, crusting, often accompanied by cheilitis and lip erosion. PAS staining showed candidal hyphae. Treatment should be topical nystatin washing solution, dried, and then partially painted nystatin, clotrimazole, miconazole and so on.

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