Crack on side of mouth that won’t heal

[Anonymous]

I got this as a resident, and the attending on my ambulatory care rotation said it’s fungal. He said to mix together a bit of an antifungal cream (like for athletes foot) with some cortisone cream or ointment. About 50:50 mix. Put it on before bed and a few times a day. Try not to lick it. Take a multivitamin.

[Anonymous]

With all this suggestion I wonder what OP is going to do.

[Anonymous]

I have this condition that flares up from time to time and it's definitely fungal. I use a prescription antifungal cream (Nystatin) on the cracking then layer it with Aquaphor. Must do this several times a day for multiple days.

[Anonymous]

Amazing all the crap advice here.

Angular chelitis is a description of the lesion and not the cause. It is often mixed fungal and bacterial. It may be related to a nutritional deficiency or allergy but you still need to heal it. If OTC anti-fungal doesn’t work then you need a prescription antibiotic.

https://www.ncbi.nlm.nih.gov/books/NBK536929/

[Anonymous]

Anonymous wrote:Amazing all the crap advice here.

Angular chelitis is a description of the lesion and not the cause. It is often mixed fungal and bacterial. It may be related to a nutritional deficiency or allergy but you still need to heal it. If OTC anti-fungal doesn’t work then you need a prescription antibiotic.

https://www.ncbi.nlm.nih.gov/books/NBK536929/

Since there are a range of potentially ominous causes of angular cheilitis, best to see a derm.

[Anonymous]

I sometimes get it and it only heals with Carmex.

[Anonymous]

Anonymous wrote:The lanolin stuff they sell for chapped nipples is pretty helpful.

That’s what heals it for me.

Oddly, I also haven’t had it in years since I quit soda and candy.

[Anonymous]

Anonymous wrote:I have this condition that flares up from time to time and it's definitely fungal. I use a prescription antifungal cream (Nystatin) on the cracking then layer it with Aquaphor. Must do this several times a day for multiple days.

+1

this is exactly what my derm prescribed for this.

[Anonymous]

Have had this. Take b complex zinc and l-lysine and do the mix suggested above for topical. This is what cured mine. And, after having this a few times in my teens and twenties I do not have it anymore - for at least 20 years.

[Anonymous]

Anonymous wrote:Amazing all the crap advice here.

Angular chelitis is a description of the lesion and not the cause. It is often mixed fungal and bacterial. It may be related to a nutritional deficiency or allergy but you still need to heal it. If OTC anti-fungal doesn’t work then you need a prescription antibiotic.

https://www.ncbi.nlm.nih.gov/books/NBK536929/

Including your own. My derm thought it was that and failed to order a blood test. I suffered through if for a year thanks to his failure to diagnose.

Bottom line - it could be a number of things. I’d see your internist.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Amazing all the crap advice here.

Angular chelitis is a description of the lesion and not the cause. It is often mixed fungal and bacterial. It may be related to a nutritional deficiency or allergy but you still need to heal it. If OTC anti-fungal doesn’t work then you need a prescription antibiotic.

https://www.ncbi.nlm.nih.gov/books/NBK536929/

Including your own. My derm thought it was that and failed to order a blood test. I suffered through if for a year thanks to his failure to diagnose.

Bottom line - it could be a number of things. I’d see your internist.

What was the cause of your angular cheilitis?

[Anonymous]

Why would you but go to a doctor?