What to do if the corners of your mouth repeatedly develop blisters, swelling, and scars

We often see people getting blisters, redness, swelling, and unbearable pain at the corners of their mouths. This happens to both adults and children, and some people have blisters again and again. Adults are prone to blisters when they get angry, while children usually get blisters due to a lack of certain trace elements in the body. So, what should you do if you repeatedly get blisters, swelling, and scars at the corners of your mouth?

Clinical manifestations of angular cheilitis

Initially, the lips are dry, with erythema, edema, exudation, and crusting at the corners of the mouth. When the disease turns into a chronic disease, the local mucosal skin becomes moist, chapped, rough and desquamated, with radiating wrinkles extending outward from the corners of the mouth. If it is caused by malnutrition, anemia, or riboflavin deficiency, it may be accompanied by damage to the oral, tongue, and genital mucosa, such as smooth tongue, redness of the scrotal skin, and corresponding systemic symptoms. It is usually bilaterally symmetrical, but can also occur unilaterally. Conscious burning sensation. Malnourished children may develop pustules at the corners of their mouths and around them, which are often related to staphylococcal infections. The disease can be divided into:

1. Malnutrition-related angular cheilitis

Malnutrition-induced angular cheilitis often occurs in people with nutritional deficiencies and vitamin B deficiency, and angular cheilitis caused by vitamin B deficiency is the most common. The symptoms are wet white, eroded or ulcerated corners of the mouth on both sides, with horizontal fissures, and even extending from the corners of the mouth to the oral mucosa or skin around the mouth. The fissures vary in depth and length, and the pain is not obvious. The corners of the mouth often hurt when stimulated. It is often accompanied by dry lips, cracks, occasional scaling, and slight swelling of the lips. The dorsum of the tongue is smooth, the filiform papillae are atrophied, the edematous and hypertrophic fungiform papillae are scattered, and there are often tooth marks on the edge of the tongue. It is often accompanied by cheilitis and glossitis.

2. Bacterial angular cheilitis

Bacterial angular cheilitis is angular cheilitis caused by streptococcal or staphylococcal infection. It is more common in elderly edentulous patients. It manifests as wet white, eroded or ulcerated corners of the mouth on both sides, with horizontal cracks, and may also fester, bleed, and form scabs.

3. Fungal angular cheilitis

Fungal angular cheilitis is angular cheilitis caused by fungal infection (mainly Candida albicans). The symptoms are wet and white corners of the mouth on both sides, with the white color being more obvious, erosion or ulceration, horizontal cracks, and possible suppuration, bleeding, and scabs. It is often accompanied by cheilitis and lip erosion. PAS staining showed Candida hyphae.

Angular cheilitis is caused by infection, which may be related to vitamin deficiency. It is recommended to take vitamin B complex and apply erythromycin ointment for treatment.

First of all, you should eat a reasonable diet, drink plenty of water, eat more vegetables and fruits, supplement vitamin C, avoid spicy and greasy food, strengthen hygiene, keep the local area clean, and avoid adverse stimulation. This disease is caused by a virus, and you should use ribavirin, acyclovir, etc. early, and apply acyclovir cream externally, etc., which can usually improve the condition. You should follow the guidance of the clinical physician for specific details.