Perlèche definition, cause and natural treatment

Angular cheilitis or also called angular cheilitis is an inflammation and appearance of small cracks at the level of a corner of the lips, or both. Most often, this lesion is bilateral (on both sides). Perleche is very rarely contagious. Adults are the most affected by the evil especially those whose profession requires the wearing of a mask and in children. As for mycotic angular cheilitis, it is more common in the elderly (wrinkles and more at the level of the lips) and people with Down syndrome. Please to join us .

How do you know you have angular cheilitis?

At a glance you cannot know that you have angular cheilitis, you have to perform a clinical examination which finds scaly and red cracks at the corners of the lips. Sometimes the doctor takes samples from the lesions for analysis. In case of recurrent angular cheilitis, a blood test may be prescribed in order to make a biological assessment. How to treat sexually transmitted infections? Please read this.

Symptoms of angular cheilitis

Angular cheilitis presents with painful lesions in one or both corners of the mouth, as well as dry lips. Affected individuals often experience a burning sensation.

Other symptoms

Lesions at the corners of the lips

Angular cheilitis is indicated by red cracked and scaly lesions (presence of crusts), most often irregular at the level of the corners of the lips. Mouth opening is limited.

The lesions may bleed when the mouth is opened and spread to the lips or cheeks.

Pain and itching at the corner of the lips

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Perleche lesions are painful. The pain may be accompanied by burning and itching.

Causes of angular cheilitis .

The collection of saliva at the corners of the lips can lead to the proliferation of microorganisms, as well as angular cheilitis. The main cause of angular cheilitis is of infectious origin. Bacterial angular cheilitis is most often caused by staphylococcus (Stapholococcus Aureus) or streptococcus. Candida angular cheilitis is caused by the fungus Candida Albicans. Perleches can have several causes: bacterial and fungal. There are favorable factors that allow the development of these germs. These often develop on pre-existing lesions.

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Most treatment involves applying a topical cream or taking medication, such as antibiotics and antifungals.

If the angular cheilitis is of bacterial origin, the treatment consists of the application of a local antibiotic in the form of a cream. If the angular cheilitis is due to a mycosis (Candida), it is a local antifungal treatment is prescribed by the doctor. Several weeks of treatment are necessary. Discover our different types of treatments.

Perlèche: natural treatments

Tea Tree essential oil which has antifungal properties can be used to treat angular cheilitis. Apply several times a day a cotton ball soaked in Tea Tree HE on the lesions.

You can also make a mixture of essential oils to treat angular cheilitis: 20 drops of palmarosa, tea tree, spike lavender EO in a 5 ml bottle with calendula vegetable oil. Apply a drop of the mixture morning and evening to the lesions for several weeks. (1)

What ointment for Perlèche?

Boiron LHF Calendula Ointment is used in the adjunctive treatment of skin irritations. This ointment helps treat angular cheilitis and irritation around the mouth.

In order not to annihilate the effects of this hydration, you must avoid moistening your lips with your saliva. Good oral hygiene and a balanced diet are also necessary. As soon as angular cheilitis appears, it is advisable to apply a moisturizing balm to your lips.

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How to quickly treat a perleche?

If the angular cheilitis is of bacterial origin, the treatment consists of the application of a local antibiotic in the form of a cream. If the angular cheilitis is due to a mycosis (Candida), it is a local antifungal treatment is prescribed by the doctor. Several weeks of treatment are necessary.

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Prevent angular cheilitis
It is possible to prevent angular cheilitis by:

• Avoiding licking the corners of the lips.
• Good oral hygiene is also essential.

Denture wearers should remove them at night and soak them in an antiseptic solution.

To avoid nutritional deficiencies, a varied and balanced diet is necessary. It is better to avoid the consumption of sweet products, favouring the development of candidiasis.

Finally, it is recommended that people undergoing treatment with inhaled corticosteroids rinse their mouths after each dose.

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Written and edited by DJIMA Rachidatou on 08/09/2022

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