lip rash

[jk723]

I have a reddish rash in the corners of my mouth, tightness around the outline of the lips, and a feeling of increased roughness (like there is some abnormal friction) on the inside of the lips, especially on the inside of the lower lip which causes it to be caught in the chewing process and be bitten, swollen, and got caught in even more. The corners of my mouth crack also, and that hurts. All this has been going on for about a month by now. I tried moisturizing cream (Nivea), 1% hydrocortizone cream, and triple antibiotic cream, but there's been no change.
Can anyone suggest what this may be, and how to go about it. My dermatologist has no openings till mid-January and I have an appointment then, but it is so uncomfortable, I'd like to have it treated sooner, especially during the holidays, etc.

[jk723]

Thank you very much for your response. Of all the things you mentioned as possibilities, only B12 deficiency may apply to me, and I will try to take some Vit B supplements. Will let you know if it worked.
Thanks again.
jk723

[BhumikaMD]

Hi,

This could be a part of Cheilitis, which is a medical condition involving inflammation of the lip. Or a bad case of Chapped lips , a condition whereby the lips become dry and possibly cracked. It may be caused by the evaporation of moisture.

Lip balm can often provide temporary relief, though it should not be used extensively.  One should avoid licking their lips as saliva contains the enzyme amylase, which can damage the already compromised lip tissue.
Honey can be used on the lips as a natural remedy.


Cheilitis is associated with many conditions from Vitamin B12 deficiency, iron deficiency anemia, be a symptom of allergies.can also be caused by taking the (retinoid) drug Isotretinoin (brand name Roaccutane).

Applying protective paraffin-based ointment (such as Vaseline) or lip balms to the lips is normally very effective. Also take Vitamin B supplements.

If nothing works you can have a biopsy done to find out the cause.
ref:http://en.wikipedia.org/wiki/Chapped_lips

Some causes of the symptoms you mention, could be lip biting, lip licking, Vit.B2 deficiency, smoking, overexposure to sun and ill fitting dentures. In extreme cases, this could be due to bacterial or fungal skin infection.

You need to drink plenty of water daily – around 1.5 – 3 litres per day and eat a balanced diet. Do not keep your lips dry; apply lip balm which contains sunscreen – preferably a medicated one.

If the symptoms still persist, consult your skin specialist or dermatologist.

Let us know about how you are doing and if you have any other doubts.

Regards.