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How Is Angular Cheilitis Treated?

Posted on Fri, 4 Apr 2014

Question: I think I have Angular Cheilitis and I was wondering what the best way to treat that would be. I have been using clotrimazole and it was almost gone but then it just flamed up again and getting just as bad as it was originally. I have now had it for almost 3 months. I had it on my right side of my lips the 1st time about 4 months ago. it only was there about two weeks. after that it was clear for about 3 weeks until I got this one on the left side. it just seems like it will never go away. and the current one on the left side is the one I've had for 3 months. I have also had 2 staph infections about 15 years ago and 12 years go. my mom thinks that may have something to do with it if that helps in any way.

Answered by Dr. Praveen Rodrigues (19 minutes later)

Brief Answer: Herpes testing; topical steroid addition Detailed Answer: Hi there. I have seen your attached jpg file & read your brief but clear history. Might I suggest addition of a mild topical steroid cream eg Kenalog orabase to the regime for 3-5 days. Also since it is recurrent, may I recommend doing a blood test at your nearest laboratory for herpes IgG & IgM testing for herpes virus1&2. In my experience, viral infections such as herpes may be pesky & overlooked in such cases. Once you have the results, either you will have crossed off a possibility off your list or you will have a treatable cause; Antivirals with a doctor's prescription are the way forward if it turns out positive. Good Luck & hope I have given you some direction to sorting your problem. Dr Praveen Rodrigues MD

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

Follow up: Dr. Praveen Rodrigues (30 minutes later)

I was actually just checked for all stds (pap and blood tested) twice in the last 8 months for unrelated issues I was having after I gave birth to my daughter and it was all negative. Is it possible it didn't show on the test? should I still ask to be tested again?

Answered by Dr. Praveen Rodrigues (14 minutes later)

Brief Answer: Yes please Herpes testing for IgG/IgM 1&2 Detailed Answer: Yes please ..just for the herpes tests that I suggested; Usually when one screens for STD's, the screening tests' may not pick up specific viruses & certainly not accurate. Am not suggesting an STD; just a viral infection with herpes that can be transmitted through any form of contact.

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

Follow up: Dr. Praveen Rodrigues (56 minutes later)

Ok I will defiantly get that done thank you.

Answered by Dr. Praveen Rodrigues (7 minutes later)

Brief Answer: Welcome & Good luck Detailed Answer: You are most welcome & wish you a speedy healing process & clear skin soon. :) Cheers!

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