Cracks, "Zaeda" in the corners of the mouth - Causes, symptoms and treatment. MF.

Zaeda - a blanching of the skin, peeling, painful cracks in the corners of the mouth.

Synonyms: заеда, slit-like impetigo, perlish, angular stomatitis, angular stomatitis.

Photo Cracks in the corners of the mouth

Causes of jaundices in the corners of the mouth

A common cause of the disease is the bacterium streptococcus( streptococcal congestion), less often fungal flora( candida convulsion).

Skin dryness, micro-trauma and skin contamination, overheating or overcooling of the body, habit to lick lips and corners of the mouth, non-observance of personal hygiene rules, with understated bite, presence of carious teeth, dentures, briquettes contribute to the occurrence of streptococcal seizure.

Candida congestion is caused by yeast-like fungi of the genus Candida. Isolated candidiasis is practically never found, often combined with candidiasis of the tongue, oral cavity, red lip rim, cheilitis. Yeast-like fungi are widely distributed in nature, they can be found on vegetables, fruits, and dairy products. As a conditionally pathogenic flora they live on the skin and mucous membranes, but when immunity is compromised they acquire pathogenic properties and cause candidiasis. The disease develops against the background of immune deficiency, often associated with the use of medications( antibiotics, hormones, cytotoxic drugs), in HIV-infected people.

Zaedy often act as a manifestation of iron deficiency anemia, one of the main and visible signs of which is the pallor of the skin, mucous membranes, conjunctiva of the eyes. Deficiency of iron is manifested by roughness and dryness of the skin, painful cracks in the corners of the mouth, fragility and dullness of hair, their loss, dullness and brittle nails. One of the causes of anemia is an unbalanced diet, a disease of the gastrointestinal tract, leading to hypovitaminosis.

Insufficiency of vitamin B2, ariboflavinosis, characterized by damage to the mucous membrane of the lips, tongue, seizures, flaking of the skin around the mouth, in the wings of the nose, changes in the eyes( photophobia, lacrimation, visual impairment).The main causes of various forms of vitamin B2 deficiency are: a sharp decrease in the consumption of dairy products, which are the most important food source of riboflavin;chronic diseases of the gastrointestinal tract.

For a long time, frequent recurrences of seizures occur in patients with diabetes mellitus. Metabolic disorders in this disease lead to a decrease in resistance to bacterial infection and trophic skin changes. The disease manifests dry skin, itching, increased thirst, weakness.

Complications In order to establish the reasons for the seizures, in addition to fixing clinical manifestations, laboratory tests are necessary. In a microscopic study of scraping from seizure, the presence of yeast-like fungi is determined, confirming or not confirming the candida nature of the disease.

It is necessary to give a general blood test to exclude anemia and inflammation;glucose of blood, to exclude diabetes.

Streptococcal and candidiasis seizure must be differentiated from syphilitic. Clinically( in appearance), they differ little from them. The complex of serological reactions( DAC) will be positive for syphilis.

Treatment of snacks in the corners of the mouth

During the treatment of cracks in the corners of the mouth, it is necessary to eliminate adverse external effects on the skin: do not lick your lips, use hygienic lipsticks, apply medical skin care cosmetics. Exclude from the food ration acute, sour, salty, irritating the mucous and skin of the lips. You should add to the diet vegetables and fruits. Include in your diet foods rich in riboflavin and iron. This: cabbage, liver, beef, dairy products, potatoes, almonds, peanuts. Take multivitamins. Quit smoking or severely restrict smoking.

The skin around the sneeze can be treated 2 -3 times a day with an aniline dye, for example fucorcin. This drug for external use has antimicrobial and antifungal action. Also apply 3% boric alcohol, which has antiseptic( disinfecting) and disinfectant effect. Among folk remedies, tea tree oil is used that has antiseptic, bactericidal and antifungal activity.2-3 drops are applied to damaged areas of the skin, 2-3 times a day.

Since seizures are one of the manifestations of pyoderma and candidiasis of the skin against the background of immune deficiency, then with untimely begun treatment, the disease can take a persistent and recurrent character and spread to surrounding tissues.

To which doctor to apply for the treatment of seizures in the corners of the mouth

Establish a diagnosis, prescribe the necessary treatment can doctor dermatologist. He will recommend what additional examinations are necessary and which doctors should be consulted.
If the patient is taking hormonal drugs permanently, cytotoxic drugs are HIV-infected, then if a patient calls for a dermatologist, they should immediately contact the dermatologist to start treatment.

Therapist doctor of the highest category Vostrykova I.N.