Factors causing angulitis
Seizures (angulitis, angular stomatitis) are a type of skin lesion that is located in the corners of the mouth. The causes of this disease are as follows:
- increased reactivity of the immune system of an allergic nature, often seizures are one of the accompanying diseases, for example, with eczema, atopic dermatitis;
- the occurrence of some chronic infection in the body against the background of immunodeficiency;
- diabetes mellitus (the mechanism is the same as during the formation of a diabetic foot, when tissue trophism is disrupted);
- hypo- and vitamin deficiency, especially for B vitamins;
- long-term and intensive antibacterial therapy (destroys beneficial microflora, as a result of which opportunistic microflora is activated);
- serious changes in hormonal levels, physiological (adolescence, pregnancy) and pathological (with disturbances in the functioning of the endocrine glands).
Diagnosis of the disease
Unfortunately, patients with angulitis very rarely turn to a specialist for help, but in vain. After all, the acute form of the disease is easier to cure, thereby preventing the disease from becoming chronic.
Required research:
- general blood and urine tests;
- blood sugar test;
- biochemical analysis and liver tests;
- ELISA blood test for herpes viruses;
- blood test for syphilis;
- Ultrasound of the abdominal cavity.
Consultation with highly specialized specialists may also be required.
Varieties of jam
Thus, angulitis can be an allergic inflammation, or a bacterial infection that occurs against the background of weakened immunity and/or impaired trophism of the skin in the corners of the mouth. Allergic seizures are easily identified - they occur after eating some food that is an allergen for the patient. Or the food itself may be overly irritating (spicy, sour). Allergic seizures are often a concern in childhood, when the level of allergic reactivity is especially high. In all other cases, the development of seizures is associated with the addition of an infection:
- Streptococcal infection. It begins with the formation of a vesicle in the corner of the mouth, which quickly resolves, leaving a small, slightly bleeding erosion. The erosion quickly heals with a purulent-bloody crust. The crusts may peel off and grow back. The jam when moving your mouth can be a little painful. Often develops against the background of bacterial tonsillitis in children.
- Candida infection (opportunistic fungi of the genus Candida). Here the erosion is not covered with a crust, but is framed by softened epithelium. An easily removable grayish film may appear on the wound. This jam is less noticeable when the mouth is closed.
- Less commonly, seizures are caused by viruses. If this happens, then with a 95% probability it is a herpes virus type 1 or 2.
The choice of drugs depends entirely on the etiology of angulitis. The nature of the pathology is determined by a dermatologist during a clinical examination, and the exact infectious pathogen is identified by taking a scraping.
What is zaeda?
Zaeda is a common name for inflammation of the mucous membrane in the corner of the mouth. Medically called angulitis or angular cheilitis. Since it appears precisely in the corners of the lips. In the form of irritation, redness, cracks, ulcers or crusts. Seizures cause discomfort from aesthetic to unpleasant sensations when talking and eating.
Reasons for sticking in the corners of the mouth
Normally, the oral mucosa independently prevents the penetration of infection due to its structure. But with a decrease in immunity, this ability is significantly reduced. Therefore, angulitis in children and adults most often appears in the autumn-spring period (lack of vitamins), during colds and during exacerbation of chronic diseases (decreased immunity). There are many reasons for this:
• frequent damage to the mucous membrane of the corner of the mouth (banal injury to the corner of the mouth, frequent licking of the lips);
• disruption of the microflora of the oral cavity leading to seizures and other stomatitis;
• overdrying of lips in the wind makes the mucous membrane of the corners of the mouth more vulnerable;
• at a dentist appointment – when you have to keep your mouth wide open for a long time. The corner of the mouth becomes dry, its washing and banal wetting with saliva are impaired. Any touch, even gentle, to the mucous membrane of the corner of the mouth can be unpleasant or painful. Prevention of this is simple and banal - lubricate the corners of the mouth with Vaseline;
• after treatment with antibiotics. When the microflora of the whole body is disturbed;
• increased activity of Candida fungi;
• exacerbation of herpes.
Types of jam
Seizures in the corners of the mouth are caused by three types of microflora - bacterial (staphylococci and streptococci), Candida fungi and herpes.
Ideally, angulitis should be treated with means that will affect exactly the microflora that caused the seizure:
Treatment for jamming in the corners of the mouth
Treatment of a stuck mouth is, on the one hand, trivial, but on the other hand, it is not entirely simple. We have already found out that the main cause of jamming is microtrauma and microflora entering the mucous membrane. And it makes no difference whether it is foreign to the body or healthy, its own. And if the immune system is weakened, then it is not able to fight any microflora - neither its own nor the alien one. Any of them becomes pathological - negatively affecting. Therefore, the treatment for mouth jam is:
• simple prevention of jamming - do not use other people’s spoons and hygiene products (toothbrushes, etc.)
• in case of the first signs of mouth seizure, treat the inflammation of the corner of the mouth locally: with ointments, powders, etc.
Local treatment for jam consists of applying drugs to the corners of the mouth. Moreover, the treatment is step-by-step - first remove the pathogens, and then help the corners of the mouth recover. It’s better to start with:
• decoctions of chamomile, calendula
• in case of seizures against the background of dry, cracked lips, it is rational to lubricate them to moisturize them with oils (rosehip, sea buckthorn, olive, oil solutions of vitamins A and E)
• in case of long-term and ineffective treatment of jam, scrapings are made to determine the main microflora in the corners of the mouth. Most often these are staphylococci, streptococci and Candida fungi. And drugs are prescribed to target them specifically:
If the jam looks red, with a thick crust, then the cause is staphylococci or streptococci
Its treatment consists of applying antibacterial ointments:
• methyluracil
• leomycolic
• kamistad ointment or gel
• crushed streptocide tablet can be applied as a powder
If the jam is varnish-red or has a white coating, then Candida mushrooms are to blame
Then treatment with antifungal agents:
• levorin ointment
• nystatin ointment
• candida ointment
With herpes, seizures may appear on the lips
Treatment of herpetic angulitis is carried out with general treatment and place:
• Gerpevir ointment
• Ameskin
• Viferon
A universal remedy for the treatment of post all seizures is Cholisal gel. It is effective against bacteria, viruses and fungi.
When the acute phase of angulitis has passed, for faster healing, use the following:
• sea buckthorn oil
• rosehip oil
General treatment for stuck lips
Increasing immunity and strengthening it:
vitamins of groups B, A and C in the form of vitamin complexes or an increase in the diet of foods containing them:
• B vitamins contain: milk, cheese, cottage cheese, broccoli, fresh peas, green beans, spinach and bran.
• Microelements in foods: peaches, pomegranates, nuts, parsley, asparagus, buckwheat, seafood, pumpkin seeds.
If seizures do not go away for a long time, you need to understand the common causes of decreased immunity, chronic diseases and influence them.
To treat a mouth jam, it is not necessary to take an antibiotic, or anything else, orally before or after a meal, and do not inject it intramuscularly with small or large syringes. It is enough to sprinkle or moisten it several times (depending on the drug you choose) directly into your mouth. And repeat everything as prescribed in the instructions for the drug for several days.
What if I go untreated? A rhetorical question. There will be no colossal harm, not counting cosmetic ones. Typically, seizures go away on their own in four to five days if the body receives energy and vitamins from somewhere (usually through food, but there are other non-traditional options). If you don’t have access to these resources, then write “lost”, and the jam will decorate your face until your immunity increases. Since Lomonosov also proved that “Nothing comes from nowhere and goes nowhere,” it becomes clear that the fight against binge eating will only end with an increase in the body’s immunity, to strengthen which it must be reinforced with something somewhere.
June 24, 2019
Source: www.ardenta.ru
Treatment of allergic angulitis
If the seizure is of an allergic nature, then antihistamines are first prescribed. The generation of the drug does not play a special role here. It’s just that Suprastin (Chloropyramine, 1st generation) causes severe drowsiness and sometimes headache, and its effect may weaken over time (allergic resistance). Whereas Erius (Desloratadine, 3rd generation) not only competitively binds to histamine receptors, but also inhibits the synthesis of histamine itself. And the side effects are much less pronounced. The “golden mean” is Loratadine - a 2nd generation drug that has almost no side effects, is almost as effective as Erius, but is several times cheaper.
In case of severe allergic inflammation, short-term use of hormonal ointments is permissible: Akriderm, Sinaflan, Advantan, Fenistil, etc. However, for children under 12 years of age, hormonal ointments are prescribed only as a last resort. As a softer analogue of hormonal ointments, you can use Vishnevsky's liniment. But not longer than 10 days, and care must be taken to ensure that the child does not accidentally lick off the applied drug. We must remember that there is always a risk of infection joining allergic inflammation. Considering that children often comb out bumps with unwashed hands.
Angulitis during pregnancy: how to get rid of it
Pregnant women are very vulnerable to various infections. Risk factors in this case are vitamin deficiency and increased stress on the body.
Causes of angulitis during pregnancy:
- licking lips in the cold;
- allergic reactions;
- caries;
- dry lips;
- general decrease in immunity.
On our website Dobrobut.com you will find more information on this issue. Here you can make an appointment with a doctor, who will tell you how to get rid of the jam and which ointment is best to use in your case.
Treatment of infectious angulitis
When angulitis develops due to infection, then the appropriate remedy is needed. Fukortsin is often prescribed as the first line, which has both antibacterial and antifungal activity, and forms a long-term, protective film at the site of damage.
In eliminating bacterial infections, Metrogyl Denta gel, containing Metronidazole and Chlorhexidine as active ingredients, has gained great popularity. Older, but also effective combined broad-spectrum agents are ointments: Methyluracil ointment and Trimistin. Tetracycline ointment and Levomekol are excellent against streptococcal infections.
If the infection is of a fungal nature, then the main treatment is antifungal ointments: Levorin, Nystatin, sulfur-salicylic, and Clotrimazole. Acyclovir is most often prescribed against herpes lesions in the mouth.
Types of angulite
Considering the etiology, seizures can be primary and secondary. In turn, the primary ones are divided into: streptococcal, viral and candidiasis.
Viral seizures. They are caused by a viral infection (herpes virus). In this case, a doctor will help you choose an ointment for sticking in the corners of an adult’s lips.
Streptococcal seizures are caused by streptococcal infection. A characteristic manifestation is the formation of a yellowish-red crust.
Candidiasis angulitis. The cause is a fungal infection. This type is characterized by a chronic course and the absence of a crust.
Additional measures and prevention
In addition to therapy that eliminates the cause, auxiliary therapy is required to prevent relapses. Vitamin ointments Panthenol and Bepanten, providing the skin with additional pantothenic acid. Vitaon (one of Karavaev’s balms) is a complex complex based on plant substances (essential oils, calendula, fennel, rose hips, pine, chamomile, mint, St. John’s wort, etc.). Vitaon accelerates regeneration processes, inhibits the development of inflammation and has a slight antiseptic effect. Zinc paste creates good protection against excessive evaporation of moisture from the epidermis and protects against re-entry of microorganisms. And of course, you need proper, fortified nutrition. Skin health is primarily affected by a lack of vitamin B2 in food.
Diagnostics
After a physical examination with the collection of complaints, a visual examination of the oral cavity and problem areas of the skin, and clarification of the supposed causes of the pathology, appropriate diagnostic measures will be prescribed aimed at identifying the disease that led to such manifestations
Necessary diagnostic methods:
- Bacterial seeding of the contents of conflict with identification of the pathogen and determination of its sensitivity to chemotherapeutic drugs.
- Analysis of immune status to determine functional and quantitative indicators of the state of the immune system.
- Serological studies. Prescribed to identify the cause of seizures, for example, to determine antibodies to the pale spirochete that appear with syphilis.
- Dermatoscopy is a visual assessment of pathologically changed areas of the skin using a digital or optical dermatoscope, which repeatedly magnifies the tissue being examined. The study is necessary for the differential diagnosis of a seizure with a nevus, malignant neoplasm, hemangioma, etc. Prescribed for suspected streptococcal impetigo.
- Skin pH-metry is a diagnostic method that allows you to determine the acid-base balance of the skin using special pH meters. The disease is detected depending on whether the displacement has occurred into an alkaline or acidic environment. Alkalinization of the epidermis occurs in eczema and atopic dermatitis. A shift to the acidic side indicates psoriasis.
- Histology and cytology of altered skin. These are optional studies carried out according to indications to exclude an oncological process.
Based on the suspected cause of the cracks, you may need to consult a venereologist, endocrinologist, neurologist or allergist.
Vitamins
The appearance of a jam indicates not only the presence of some pathogen, but also the weakness of the skin, since any infection manifests itself in the weakest places.
This means there are problems with the skin and vitamins that are responsible for its condition help solve them. Namely: A, B2 and E. It is the presence of these vitamins that needs to be replenished in order to get rid of unpleasant and painful wounds. This can be done quickly with complex pharmaceutical preparations containing these vitamins.
Also, vitamin deficiency can be replenished from food, but this will last longer than with the use of the drug.
How to treat seizures?
In case of a mild form of angulitis, it is not necessary to consult a doctor, however, it is better not to continue treatment of angulitis at home in adults (the remedies are described later in the article) if the healing process does not occur even after several days of treatment. Otherwise, it is better to consult a doctor.
Traditional treatment for seizures in adults includes the following points of therapy:
- Anti-infective therapy;
- Therapy aimed at accelerating healing;
- Eliminating the physical causes of seizures.
Prevention
The occurrence of seizures can be prevented by following the following recommendations:
- If seizures bother you quite often, you need to undergo a full examination. Perhaps the cause of the disease is hidden in the body.
- Monitor the condition of your mouth and teeth. Get a timely preventive examination from your dentist. Caries, tartar, poor-quality dentures - all this can contribute to the appearance of angulitis.
- Proper nutrition will help get rid of an unpleasant disease. The diet should contain foods rich in vitamins B2, C, E.
- Carry out timely vitamin therapy. But it is worth remembering that hypervitaminosis can also cause seizures.
- There is no need to allow your lips to become dry or flaky. To moisturize, use hygienic lipstick, thermal water, wax, honey, oils (linseed, rose, coconut).
