Wound or open pustule on outer lip

[RH11]

I am interested in info about a open wound on the mouth, bottom lip that is cracked and will not heal..... have used vitaminE, abreva, peroxide, vaseline, saline and nothing works, it pusses and has a slight odor, any suggestions or similar cases to be compared to, very interested and patiently waiting. Thank you.

[RH11]

Thank you very much for info, is that something easily recognised and would going straight to a dermatologist be the most efficient and cost effective way to come to a diagnosis. Just acquired health insurance, so had to wait, UGH!! Its been quite stressful!!Thanks Again!!

[Bhupinder Kaur, MD]

Hello,
If the open wound is pussing and discharging then it can be a bacterial skin infection. Other possibility is of cheilitis glandularis. Cheilitis glandularis affects the lower lip almost exclusively, although it has been reported to affect the upper lip. It presents as black marks due to puncta of the salivary gland swelling. Then viscous clear secretions and crusting may be there.

I suggest you to consult a good dermatologist and get a culture sensitivity of the fluid sample from lip and  biopsy of the lip done to confirm the diagnosis.

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.