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What Causes Painful And Crusty Bleeding Blisters On Lower Lip?
I am a dental hygienist and a patient of mine has had chronic blistering open lesions on her lower lip since april. She has been tested for herpes, and cancer- both came up negative. They are checking her for lupus. Any ideas? It looks very painful and is crusty with bleeding. This pt does have a history ofhypertension.
Wed, 17 Sep 2014
Thanks for your query, I have gone through your query.
The crusty bleeding blisters over the lip can be because of the pemphigus or bullous pemphigis or mucous membrane pemphigoid. If i am your treating doctor, I would suggest you to get a immunoflorescence test(direct or indirect). This test confirms the diagnosis. In this also you can go for indirect method where they will draw blood and do the test unlike direct method where they take small piece of tissue from the lesion.
Meanwhile you can topical anesthetic and analgesics like 2% lignocaine and choline salicylate gey (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.
I hope my answer will help you, take care.
The crusty bleeding blisters over the lip can be because of the pemphigus or bullous pemphigis or mucous membrane pemphigoid. If i am your treating doctor, I would suggest you to get a immunoflorescence test(direct or indirect). This test confirms the diagnosis. In this also you can go for indirect method where they will draw blood and do the test unlike direct method where they take small piece of tissue from the lesion.
Meanwhile you can topical anesthetic and analgesics like 2% lignocaine and choline salicylate gey (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.
I hope my answer will help you, take care.
I find this answer helpful
Thanks for your query, I have gone through your query.
The crusty bleeding blisters over the lip can be because of the pemphigus or bullous pemphigis or mucous membrane pemphigoid. If i am your treating doctor, I would suggest you to get a immunoflorescence test(direct or indirect). This test confirms the diagnosis. In this also you can go for indirect method where they will draw blood and do the test unlike direct method where they take small piece of tissue from the lesion.
Meanwhile you can topical anesthetic and analgesics like 2% lignocaine and choline salicylate gey (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.
I hope my answer will help you, take care.
The crusty bleeding blisters over the lip can be because of the pemphigus or bullous pemphigis or mucous membrane pemphigoid. If i am your treating doctor, I would suggest you to get a immunoflorescence test(direct or indirect). This test confirms the diagnosis. In this also you can go for indirect method where they will draw blood and do the test unlike direct method where they take small piece of tissue from the lesion.
Meanwhile you can topical anesthetic and analgesics like 2% lignocaine and choline salicylate gey (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.
I hope my answer will help you, take care.
I find this answer helpful
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