Angular Cheilitis

[Fleurdefry]

Hi I have seen a doctor and was prescribed Ketoconozole.  I have been using the overnight method with gentle dish soap washes every two hours then drying and vaseline and the cheilitis seems to be going away.  I was just wondering how long should i do this drying technique to make sure it is gone?  My skin is getting very dry and starting to peel, but a week ago the cheilitis came back when I started using moisturizer too soon.  Thanks!

[Omega13]

I had angular cheilitis for about eight months. I went to my doc and he told me to take vitamin b12 it did not work.  I went back again and was prescribe a steroid cream triamcinolone  and told to mix it with a OTC fugal cream clotrimazole this can be found in the foot section of your local grocery store it seemed to work but as soon as I stopped using it the sores on the corner of my mouth came back. Next I was prescribed desoximetasone and again it seemed to work but when I stopped using it the sores came back. After searching the net I remembered a post about folic acid.so I went and bought some 800 mg and within a week the sores healed. Right now I am trying to heal the damaged skin using a homemade moisteurizer of melted bees wax, olive oiland Shea butter. The next batch I'll make will have coco butter in it. Melt the stuff in a tin foil boat shape in boiling water this way the melted mixture will not burn since the foil will be floating on the water then pour in container and put in the fridge to cool. Careful when you pour
the hot mixture from the tin foil. Angular cheilitis is caused by: b12 deficiency, viral, bacteria, fungal, is a sign of celiac disease, Plummer-Vinson syndrome, sjogren syndrome, folic acid deficiency.  There are other causes for this condition but I hope this helps someone out there good luck

[Fleurdefry]

Oh and I have been taken allergy meds for other reasons and also a multivitamin and a b50 complex vitamin. And vitamin e. I really would like this to go away. Not just for vanity reason but it is painful and itchy.

[Fleurdefry]

Thanks for the response! I have been avoiding the mentioned things and also have seen two doctors. It is not easy or staph. The doctor told me to keep using mentax and vanicream 60 and come back in four weeks. The cracks have healed but it is dry flaky and red all around my mouth. It is like psorisis that some people get on their elbows but not as thick. I am now using the mentax and then putting cocoa butter on top. Any suggestions?

[Bhupinder Kaur, MD]

Hello,
For cheilitis, avoid licking the lips as saliva evaporates quickly resulting in them being drier than before. Drink plenty of water and take multivitamin supplements and do not apply lipstick or other cosmetic products for some days. Use a humidifier to moisturize the air in your home and apply shea butter or Vaseline on your lips.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.