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What Causes Circular, Reddish And Raised Scaly Skin Patch At Corners Of Lip?
Question: In October 2014, I had a kiss with a guy. And three week later I felt a burning sensation at the left corner side of my lips. There is an attached picture of this (pic -1). After that is getting bigger and bigger. The pattern of getting bigger is that i get itching sensation and then red rash appears surrounding the affected area and leaves the black mark. However this never get healed by itself Here is my current picture of my affected area. i never have had pain or any blisters containing fluid .
In the first diagram you can see that that the spot having burning senstation was there. Then i got a rash surrounded the spot in XXXXXXX shape and this process is continue
In the third diagram you can see
1) New itchy rash in XXXXXXX shape
2) Old rashes leave the black color
3) Bounded by thicker line. (sometime itchy and color become brighter)
On the prescription of one dermatologist i started taking taxim-o 400 mg two times in a day along with vitamin b complex. Sometime i apply bitamil GM cream but it does not get cure.
I just want to know that is it herpes or angular chalities or something eles ?
In the first diagram you can see that that the spot having burning senstation was there. Then i got a rash surrounded the spot in XXXXXXX shape and this process is continue
In the third diagram you can see
1) New itchy rash in XXXXXXX shape
2) Old rashes leave the black color
3) Bounded by thicker line. (sometime itchy and color become brighter)
On the prescription of one dermatologist i started taking taxim-o 400 mg two times in a day along with vitamin b complex. Sometime i apply bitamil GM cream but it does not get cure.
I just want to know that is it herpes or angular chalities or something eles ?
Brief Answer:
I suggest a possibility of fungal infection.
Detailed Answer:
Hello. Thank you for writing to us
I have taken note of your query and I have also reviewed the Image.
In one of the close up Images i can see a round/ circular, red, raised and scaly skin patch.
This does not seem like herpes labialis neither is it angular cheilitis. Angular cheilitis usually affects angles of lips on both sides.
I suggest a possibility of Tinea/ Fungal infection.
Red, raised circular rim, itching and scaling are characteristic of fungal infections.
I suggest you to try an OTC topical antifungal e.g either clotrimazole 1% cream Or Miconazole nitrate 2% cream, twice daily for 2-4 weeks.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.
Regards
I suggest a possibility of fungal infection.
Detailed Answer:
Hello. Thank you for writing to us
I have taken note of your query and I have also reviewed the Image.
In one of the close up Images i can see a round/ circular, red, raised and scaly skin patch.
This does not seem like herpes labialis neither is it angular cheilitis. Angular cheilitis usually affects angles of lips on both sides.
I suggest a possibility of Tinea/ Fungal infection.
Red, raised circular rim, itching and scaling are characteristic of fungal infections.
I suggest you to try an OTC topical antifungal e.g either clotrimazole 1% cream Or Miconazole nitrate 2% cream, twice daily for 2-4 weeks.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thankyou doctor, but i am using betamethansone dipropionate with gentamicin and micronazole nitrate cream (betamil GM) since last 6 week.but as you can see in image, it does not get cured.
Brief Answer:
I suggest you to use both oral as well as topical antifungals
Detailed Answer:
Hi.
Ring shaped expanding lesion is classical of tinea/ fungal infection.
This cream contains a potent topical steroid e.g betamethasone dipropionate which encourages fungal growth, therefore, topical miconazole in spite of being an antifungal ingredient present in this cream, is not sufficient all by itself to take control of infection.
I suggest you to apply a plain topical antifungal (steroid free) e.g either clotrimazole or sertaconazole or terbinafine, twice daily for a 2-4 weeks.
In addition you may also take an Oral antifungal e.g fluconazole tablet once weekly, Or once daily terbinafine, for faster and more complete cure.
These are prescription drugs and therefore I suggest that you visit a dermatologist in your region for a prescription of both topical and oral antifungals.
Regards
I suggest you to use both oral as well as topical antifungals
Detailed Answer:
Hi.
Ring shaped expanding lesion is classical of tinea/ fungal infection.
This cream contains a potent topical steroid e.g betamethasone dipropionate which encourages fungal growth, therefore, topical miconazole in spite of being an antifungal ingredient present in this cream, is not sufficient all by itself to take control of infection.
I suggest you to apply a plain topical antifungal (steroid free) e.g either clotrimazole or sertaconazole or terbinafine, twice daily for a 2-4 weeks.
In addition you may also take an Oral antifungal e.g fluconazole tablet once weekly, Or once daily terbinafine, for faster and more complete cure.
These are prescription drugs and therefore I suggest that you visit a dermatologist in your region for a prescription of both topical and oral antifungals.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello doc.
i got suggestion for taking terbicip cream and fluconazole tablet.
i want to ask you that what would be doses for fluconazole tablet (what mg, how many time in a day).
and do i have to take cetrizine 10 mg along with this?
i got suggestion for taking terbicip cream and fluconazole tablet.
i want to ask you that what would be doses for fluconazole tablet (what mg, how many time in a day).
and do i have to take cetrizine 10 mg along with this?
Brief Answer:
Oral and topical antifungals are prescription drugs
Detailed Answer:
Hi.
You may apply this cream twice daily for 2-4 weeks.
Fluconazole is once weekly for 4-6 weeks. It is not given as daily dose. Just once every week.
Cetrizine is just for symptomatic relief of itching. Can stop it after 10 days.
Together these would be definitely beneficial for your skin involvement with Tinea.
These are prescription drugs and therefore I suggest that you visit a doctor in your region for a written prescription.
We cannot prescribe the doses online even if we want to.
At this forum we can only guide you regarding the correct approach towards diagnosing your skin condition and at the most we can help you reach a correct diagnosis and suggest you medicines.
The right thing for you to do would be visit a nearby dermatologist for the needful.
Kindly go through the disclaimer at the bottom of this page.
Regards
Oral and topical antifungals are prescription drugs
Detailed Answer:
Hi.
You may apply this cream twice daily for 2-4 weeks.
Fluconazole is once weekly for 4-6 weeks. It is not given as daily dose. Just once every week.
Cetrizine is just for symptomatic relief of itching. Can stop it after 10 days.
Together these would be definitely beneficial for your skin involvement with Tinea.
These are prescription drugs and therefore I suggest that you visit a doctor in your region for a written prescription.
We cannot prescribe the doses online even if we want to.
At this forum we can only guide you regarding the correct approach towards diagnosing your skin condition and at the most we can help you reach a correct diagnosis and suggest you medicines.
The right thing for you to do would be visit a nearby dermatologist for the needful.
Kindly go through the disclaimer at the bottom of this page.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
which kind of STD have potential to lead infertility in men?
Brief Answer:
Gonorrheal and chlamydial infections can be complicated by infertility
Detailed Answer:
Hi.
Untreated Gonorrhea and Chlamydial urethritis can be complicated by ascending infection of male genital tract and thus can lead to formation of Periurethral fibrosis & strictures, Epididymitis, Prostatitis and Orchitis (inflammation of testes).
These complications can lead to infertility.
Untreated syphilis can lead to Gumma formation in testes. However this complication is extremely rare these days due to the availability of antibiotics. It used to be seen in late stages of syphilis.
As far as other STD's are concerned e.g genital herpes, chancroid and HIV. They are not a cause for infertility as such.
Regards
Gonorrheal and chlamydial infections can be complicated by infertility
Detailed Answer:
Hi.
Untreated Gonorrhea and Chlamydial urethritis can be complicated by ascending infection of male genital tract and thus can lead to formation of Periurethral fibrosis & strictures, Epididymitis, Prostatitis and Orchitis (inflammation of testes).
These complications can lead to infertility.
Untreated syphilis can lead to Gumma formation in testes. However this complication is extremely rare these days due to the availability of antibiotics. It used to be seen in late stages of syphilis.
As far as other STD's are concerned e.g genital herpes, chancroid and HIV. They are not a cause for infertility as such.
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
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