Angular cheilitis

Last Updated: 2020-06-25

Author(s): Navarini A.

ICD11: DA00.0

Perlèche, foul corners, angular cheilitis, angular stomatitis.

Frequent inflammation of the corners of the mouth or the commissures of the lips.

Frequent, especially in the case of the formation of a moist chamber in the affected area (wrinkles in older people) or in immunosuppression.

  • Moist chamber due to saliva (irritant contact dermatitis)
  • Humid chamber due to closed folds
  • Bacteria (impetigo)
  • Herpes
  • Yeasts

On one or both commissures there is a rhagade and surrounding inflammation, which may also affect the follicle-bearing skin.

  • Typical clinical picture
  • Pathogen detection

Commissures of the lips, often on both sides, can also affect the surrounding skin.

  • Drainage of wrinkles, anecdotally with hyaluronic acid injection or botulinum toxin
  • Disinfect regularly

Antiseptics

  • Antibiotics or fungicidal agents or acyclovir