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Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.
Posted By DERM M.D. on July 22, 1999 at 11:30:30
Caroline:
Splitting at the corners of the mouth is called "angular stomatitis." It's also called "perleche," from the French for "milkBreast milk Breast milk jaundice Lactose intolerance Nipple discharge - abnormal," because babies get it too. Although people often refer to these cracks as "cold sores," they have nothing to do with herpes.
Textbooks say this problem is caused by yeast organisms from the mouth which set up shop wherever there's moistureMoisture drops Moisture eyes Moisture eyes pm. In my own experience, anti-yeast creams, like miconazole, often don't do the trick. Rather than making you dry, the cream is probably just not making you better.
Suggestion: get some over-the-counter hydrocortisone 1% and apply that right over the miconazole. Apply each twice or three times a day.
If that doesn't doesn't help in a week or two, I suggest, like they say in the ads, "If symptoms persist, see your doctor."
Yeasty or not, the condition is not contagious, by the way.
Good luck.
Dr. R
P.S. "Cheilitis" means inflammation of the lip, not just the corners.
Keywords: candida, perleche, cheilitis, lip, Rockoff
Keywords: candida, perleche, stomatitis, cold sores, herpes
Caroline:
Splitting at the corners of the mouth is called "angular stomatitis." It's also called "perleche," from the French for "milk," because babies get it too. Although people often refer to these cracks as "cold sores," they have nothing to do with herpes.
Textbooks say this problem is caused by yeast organisms from the mouth which set up shop wherever there's moisture. In my own experience, anti-yeast creams, like miconazole, often don't do the trick. Rather than making you dry, the cream is probably just not making you better.
Suggestion: get some over-the-counter hydrocortisone 1% and apply that right over the miconazole. Apply each twice or three times a day.
If that doesn't doesn't help in a week or two, I suggest, like they say in the ads, "If symptoms persist, see your doctor."
Yeasty or not, the condition is not contagious, by the way.
Good luck.
Dr. R
P.S. "Cheilitis" means inflammation of the lip, not just the corners.
Keywords: candida, perleche, cheilitis, lip, Rockoff
Keywords: candida, perleche, stomatitis, cold sores, herpes
Follow Ups:
Cheilosis Pam 7/22/1999
(4)
Re: Cheilosis DERM M.D. ASR 7/22/1999
(3)
Cheilosis Caroline 7/26/1999
(2)
Re: Cheilosis DERM M.D. ASR 7/26/1999
(1)
Cheilosis Pablo Pena 8/26/1999
(0)