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Are Dark Blotches On Lower Lip Caused Due To Wine And Nepalese Curry?

Posted on Mon, 6 Jan 2014

Question: I have a couple of darkish blotches on my lower lip. I am male aged 57. Last night I drank almost a bottle of white wine and had a Nepalese curry - both unusual events. Maybe related?

Answered by Dr. Dr. Kakkar (24 minutes later)

Brief Answer: Possibility of Drug reaction(FDE) Detailed Answer: Hi. Thanks for posting your concern at XXXXXXX I would like to gather some more information from you in order to be able to help you better. How long have these been present? Are you on some drugs?like painkillers?Abdominal pain/diarrhea? I would be greatly helped if you can send me a picture of the affected area with good clarity. take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (40 minutes later)

Assuming you didn't get my reply, I am on my normal regime of insulin, statins, aspirin and Ursofalk. I have taken nothing new in addition to this, other than the uncharacteristic amount of white wine and the curry. I have two lower lip blotches, one either side of the central "valley" and about 0.5 cm longitudinally (to length of lip) and 0.25 cm broad. And I should add I only noticed them last night before bed and after my meal and drinking.

Answered by Dr. Dr. Kakkar (12 hours later)

Brief Answer: Possibility of FDE, Oral lichen planus Detailed Answer: Hi. Thanks for the additional information. I could keep 2 possibilities after going through your query 1)Fixed drug eruption 2)Oral lichen planus Fixed drug eruption as the name indicates occurs to a particular drug or class of drug and it produces bluish/blackish pigmented patches on mucosa commonly. Fixed drug eruption to certain foods has also been reported. On subsequent intake of the implicated drug OR food the eruption recurs at the same site(thus called FIXED ERUPTION), in addition other sites may also be affected. The implicating drug or food can usually be judged from history. Acetylsalicylic acid(Aspirin) is also one of the cause of FDE. Oral lichen planus can present as bluish/blackish pigmentatin of the oral mucosa(labial and buccal mucosa). It has various other presentations too. Its an autoimmune condition. Treatment depends on the clinical presentation. People who have severe mucosal involvement can complain of burning/irritation to spicy food. I would advice that you visit a dermatologist who would have the opportunity to examine the patches on your lip. You can discuss with your dermatologist regarding your concern keeping all these points in mind. take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (27 minutes later)

Very many thanks for your help. XXXX XXXXXXX

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer: You are welcome Detailed Answer: Thanks for asking on XXXXXXX take care 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. Chakravarthy Mazumdar