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What Causes Rash At The Angles Of Mouth?

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Posted on Thu, 26 Jun 2014
Question: Dear Doctor,
I am writing to you for two problems in my face:-
1. I have kind of allergy just below and sideways of my lower lips. it may be due to shaving, although I use high quality razor and cream. I consulted a doctor and he gave me Fluticasone Cream BP. However, it has not reduced completely after 21 days. Only a small improvement can be seen. In the next step, I have attached a picture. Hope the picture will help.
2. This is on my eye lids. I have this for quite some time, I mean for the last 2-3 years. Although it has not grown bigger, no itching etc.... but I want to get rid of this. Pls see the picture. You will see the whitish marks.

Request you to help me recover from these two problems. please prescribe me medicine, not merely an advice.

Regards, XXXXXXX
0000
doctor
Answered by Dr. Dr. Kakkar (31 minutes later)
Brief Answer:
Dermatitis;Xanthelasma

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query and I have understood it. I have also looked at the Images.

1) Regarding the rash at the angles of the mouth, it does seem to be due to shaving cream or aftershave. The result is a dry, red patch of dermatitis of skin which might itch or irritate a bit.

I would suggest that you avoid using soaps on your face since soaps will exacerbate the condition.

Instead use a gentle cleanser like cetaphil cleansing lotion for face wash.

Use a good moisturiser daily

For the patch you could use a cream containing mometasone furoate twice daily. (Elocon cream). This should make it fine within a week or 10 days.

2) Your second concern presenting as yellowish slightly raised/flat patches in the medial angles of the upper eyelids is due to cutaneous lipid deposition, known as Xanthelasma.

I would suggest a Serum Lipid profile to look for any abnormality in serum lipids. e.g Raised cholesterol, Triglycerides etc which if deranged should be managed appropriately.

Xanthelasma is managed either by chemical cauterisation with Trichloroacetic acid (TCA) or Electrocautery/Radiofrequency cautery OR CO2 Laser vaporisation.

You need to take an appointment with a dermatologist who would perform cauterisation of the Xanthelasma patches.

Hope this information helps

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Rash At The Angles Of Mouth?

Brief Answer: Dermatitis;Xanthelasma Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through your query and I have understood it. I have also looked at the Images. 1) Regarding the rash at the angles of the mouth, it does seem to be due to shaving cream or aftershave. The result is a dry, red patch of dermatitis of skin which might itch or irritate a bit. I would suggest that you avoid using soaps on your face since soaps will exacerbate the condition. Instead use a gentle cleanser like cetaphil cleansing lotion for face wash. Use a good moisturiser daily For the patch you could use a cream containing mometasone furoate twice daily. (Elocon cream). This should make it fine within a week or 10 days. 2) Your second concern presenting as yellowish slightly raised/flat patches in the medial angles of the upper eyelids is due to cutaneous lipid deposition, known as Xanthelasma. I would suggest a Serum Lipid profile to look for any abnormality in serum lipids. e.g Raised cholesterol, Triglycerides etc which if deranged should be managed appropriately. Xanthelasma is managed either by chemical cauterisation with Trichloroacetic acid (TCA) or Electrocautery/Radiofrequency cautery OR CO2 Laser vaporisation. You need to take an appointment with a dermatologist who would perform cauterisation of the Xanthelasma patches. Hope this information helps Regards