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lip problem

My daughter developed a problem with her lips last  August.  At first we thought it was a cold sore on the corner of her mouth and treated it with the one expensive over-the-counter medicine that comes in a tiny tube.  It was ineffective.  Then it was in both corners, and then there was a little redness above the top of her upper lip that comes and goes.  Her lips continually go through a cycle of peeling; the corners' problem does not go away.  She does not lick her lips.  We went to a dermatologist who thought it was a yeast infection who treated it with a nystatin with steroid- it would make it go away within 2-3 days but it would just come back.  Then he wouldn't prescribe anymore, just the nystatin that was ineffective.  At the same time she has a couple of spots that come and go at the inside of her elbow crease and near her wristbone.  He treated it with  somethings that begins with fluoro. . .  which makes it go away easily but still appears to be a come and go thing.  The big problem  is the lips.  Another dermatologist still believed in the nystatin and said it takes 2-3 weeks to "tease" it out.  It was not effective.  Nothing seems to be permanent.  Now this has been almost going on a year, and I don't know what to do.  Pursue food intolerances?  Very rarely she thinks she feels some itchiness (not on the mouth) on her neck or arm after eating but so rarely happens enough to really conclude it is food. She is 11 and eats everything.  Please help!
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
From the symptoms it sounds like angular cheilitis. Angular cheilitis is an inflammatory lesion at the labial commissure, or corner of the mouth and manifests as deep cracks or splits.More commonly it is caused by a fungal infection.

Dry out the lesions completely by patting and air drying after washing with a mild soap and use petroleum jelly to lock out moisture. It is vital that the affected areas be clean and completely dry before application of the jelly.You can also apply small amounts of athlete’s foot cream which is available over the counter.Also give her some vit B complex for some days.

If the symptoms persist then pls consult a dermatologist as oral antimicrobials may be needed.

I hope it helps. Take care and pls do keep me posted on how you are doing or if you have any additional doubts.Kind regards.

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Avatar universal
Angular chelitis is classically linked to Bcomplex vitamins and may be a course would settle the problem.
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