Angular cheilitis is a common condition that is often mistaken for chapped lips. The classical presentation is cracking or fissuring at the corners of the mouth, but it may appear simply as dry lips. While dry, chapped lips will usually heal within a few days through the use of topical moisturizers, angular cheilitis will not. This condition is usually caused by a yeast and/or bacterial infection, and requires antibiotic therapy. Patients who have diabetes, HIV, are on chronic steroids or other immunocompromising medications or have had a history of head and neck irradiation seem to be at higher risk of infection. So do patients with B 12, folate or iron deficiency, or those who have loose fitting dentures…Richard R Samuel, MD Family Practice and Urgent Care Hayden, ID USA
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