What is a 58 year old, professional/married woman, (otherwise healthy) doing up at 4:00 am searching the internet for a solution to a medical problem that she has been to a doctor three time over the past month? Desperate...I woke up with my lips burning.
On April 24th, I volunteered at a local art event which was held in a factory. My station was close to furnaces and it was hot and the next day my lips were chapped. For a week, I used a medical chapstick and instead of getting better, a red rash developed at the cornor of my mouth and the inside of my mouth felt like it was full of cotton or "morning" mouth; blisters appeared on the lower lip. I went to my internist who diagnosed the problem as "Bacterial" and prescribed Amoxicellan (sp?) He said to call if after five days their was no relief. I was traveling on a business trip and called after six days to advise no relief (however, I completed the 10 day dosage). He then prescribed an anti-viral (Azmsol sp?, I returned the prescription to him, so I don't have the exact name of the presription) I took that medication for six days (twice a day), and no relief and in fact two days after starting that medication I became sick with burning sore throat and took three days off from work this past week. During this time, I had difficulty speaking and was constantly coughing up flem. I went back to work on Thursday. Today, Saturday those symphtoms (cough, sore thoat and coughing up flem) appear to be gone. I returned to the internist this past Thursday, he took me off the anti-viral because it appears that it has not helped and he prescribed Ketoconazole an anti-fungal. (He also ordered blood tests for which I do not have results as yet) I started using this topical cream Thursday, it burned the first time. However, I have applied it as directed twice a day and no sign of improvement. This problem has been going on for over a month, with no signs of improvement. Perhaps in your experience as a Dermatologist, you can suggest other diagnosis and possible treatment. I recognize that advise without seeing a patient would be difficult, but I don't know what else I can do. I have never used the internet this way before and hoping that this site is not a hoax. My current condition is: some dry mouth, not as bad as in the beginning, red rash at the cornor of mouth extending out 1/2" on to the skin, dry cracked lower lip, which bleeds and burns from time to time. Only relief is pure vaseline jelly. Awaiting your response. Best regards,