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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Angular Cheilitis Be Treated?

hello, i am on Accutane and have developed angular cheilitis. I have tried to apply hydrocortisone 1% on my lips twice and it burned like hell. I am wondering if this is a skin reaction from hydrocortisone or is this the healing process. It didn't moisturize my lips neither. I am wondering if i should continue using hydrocortisone? can i try using pander or an anti itch relieving cream (benzocaine 20%, resorcinol 3%) thank u!
Wed, 25 Apr 2018
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Dentist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Angular Cheilitis can lead to dry and cracked corners of the mouth and can occur due to a number of common causes like iron deficiency anemia, fungal infection, ill fitting dentures, loss of teeth leads to folds of skin at the mouth corners, systemic diseases like Celiac disease etcetera.

Treating the underlying problem that is causing the symptoms will help in its resolution. You can also apply a thick coat of Petroleum jelly over the corners to relieve the dryness and smoothen the area.

Do cool compresses. A low potency steroid ointment along with antibiotic ointment can also be advised. But, if the hydrocortisone is causing problems then you should avoid using it.

Take multivitamin tablet for 15 days. Consult your physician for prescription. Drink plenty of water. If it does not improve, consult a Physician and get evaluated.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora
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How Can Angular Cheilitis Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Angular Cheilitis can lead to dry and cracked corners of the mouth and can occur due to a number of common causes like iron deficiency anemia, fungal infection, ill fitting dentures, loss of teeth leads to folds of skin at the mouth corners, systemic diseases like Celiac disease etcetera. Treating the underlying problem that is causing the symptoms will help in its resolution. You can also apply a thick coat of Petroleum jelly over the corners to relieve the dryness and smoothen the area. Do cool compresses. A low potency steroid ointment along with antibiotic ointment can also be advised. But, if the hydrocortisone is causing problems then you should avoid using it. Take multivitamin tablet for 15 days. Consult your physician for prescription. Drink plenty of water. If it does not improve, consult a Physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora