Perlèche, also known as angular cheilitis, is an inflammation of the corners of the mouth. The condition causes painful, red, cracked, or scaly areas in the corners of the mouth, sometimes with fissures or crusts.

Symptoms:

  • Redness and swelling at the corners of the mouth.
  • Painful cracks or fissures that may bleed.
  • A burning or tingling sensation at the corners of the mouth.
  • In severe cases, the cracks may extend beyond the corners of the mouth.

Causes:

Perleche can be caused by various factors, including:

  • Infections: Fungal or bacterial infections can trigger the condition.
  • Vitamin deficiencies: Deficiencies in vitamins such as B2 (riboflavin), B3 (niacin), B6 (pyridoxine), and iron can contribute to the development of perleche.
  • Poor oral hygiene: Not properly cleaning the corners of the mouth can create a breeding ground for infections.
  • Genetic factors: Some people may have a genetic predisposition that makes them more susceptible to the condition.

Diagnosis:

The diagnosis of perleche is usually based on the appearance of the skin around the mouth corners. Samples may be taken from the affected areas to identify an infection. In some cases, further investigation into underlying causes such as vitamin deficiencies may be necessary.

Treatment:

  • Antifungal creams or antibacterial ointments if an infection is the cause.
  • Vitamin supplements to address deficiencies.
  • Barrier creams to provide protection and aid in the healing of the skin.

Self-Care Tips:

  • Keep the corners of the mouth dry and clean.
  • Avoid licking the lips.
  • Apply a protective lip balm or petroleum jelly.
  • Improve oral hygiene by brushing regularly and using dental floss.
  • Eat a balanced diet rich in vitamins and minerals.
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