Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
130 Doctors are Online

Had painful dry lip, cracked skin and red spots in the corner of mouth, not sexually active.Had HSV. Diagnosed with cheilitis. Cause?

User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
Question
I'm a healthy 28 year old male looking for a second opinion. I was diagnosed with likely cheilitis after i had a painful lip leading to dry, cracked skin in the corner of my mouth. I am not sexually active and never have been. I've recently gotten a couple of red spots near that corner of my mouth that are alarming, perhaps for nothing. They don't hurt and look mostly under the skin though they are raised slightly.

I had an HSV 1 and 2 test performed 8 months ago just as a precaution from kissing. I've only kissed one person since who is known to be HSV free too. So I feel like that'd be an unlikely option for me. But I'd like to rule that out with the photo attached.

Also for educational purposes, what would be the odds of spontaneously contracting HSV from kissing a person who has never had a cold sore symptom? Can you put a percentage to it?

Thanks!
Posted Fri, 17 May 2013 in Skin Rash
 
 
Answered by Dr. Jasvinder Singh 38 minutes later
Hello,

Thanks for posting your query.

Given your history and symptoms, chances are more that the symptoms are due to angular cheilitis. It is an inflammatory lesion at corner of the mouth. 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. If the symptoms persist then please consult a dermatologist as oral antimicrobials may be needed.

The percentage of people spontaneously contracting HSV from kissing a person who has never had a cold sore symptom are less. The cold sore virus is spread by contact with the blisters or by contact with infected saliva. Even if there are no visible cold sores, it is still possible to transfer the virus, although it is far more likely to happen if the sores are actually present.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.




Above answer was peer-reviewed by
 
Follow-up: Had painful dry lip, cracked skin and red spots in the corner of mouth, not sexually active.Had HSV. Diagnosed with cheilitis. Cause? 9 hours later
Thank you doctor. I wanted to post another photo I took this morning. The skin was very dry on the two bumps, which I flaked off. Now I have a bright red, raw place. I just wanted to make sure this still doesn't look like anything HSV related. It doesn't hurt at all unless I really were to mess with it (which I'm not). Just wanted to make sure I'm still good with the original cheilitis diagnosis.

Also, you mentioned infected saliva in response to my question about contracting HSV from someone with no symptoms. What are the odds of that happening? Low? Could you put a percentage of chance with it? Thanks!
 
 
Answered by Dr. Jasvinder Singh 22 hours later
Hello,

Thanks for writing back.

About 70 percent of Americans are infected with HSV-1, but just a third of those infected have cold sore outbreaks and the percentage of people contracting HSV 1 when the partner does not have any active cold sores is very less.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor