White Bumps at the Corners of Your Mouth: Causes and Concerns - Dermatology

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A white spot has developed on the inside of the corner of the mouth?


I would like to consult about small white, bead-like lesions located on both sides of the corners of my mouth.
Each lesion is slightly smaller than half a fingernail and they cluster together.
When my tongue brushes over them, they feel slightly rough compared to the other asymptomatic oral mucosa, but there is no obvious proliferation of tissue.
Are these white, bead-like lesions similar to cauliflower, or could they be classified as herpes labialis?

sw, 20~29 year old female. Ask Date: 2020/03/30

Dr. Wu Yuxin reply Dermatology


No lesions were observed, making it difficult to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2020/03/30

More Info


The presence of small white bumps at the corners of your mouth can be concerning, and it's important to understand the potential causes and implications of these symptoms. Based on your description, these bumps are small, clustered, and create a slightly rough sensation when your tongue brushes against them. While I cannot provide a definitive diagnosis without a physical examination, I can outline some common conditions that might be relevant.

One possibility is that these white bumps could be a manifestation of mucous cysts or mucoceles, which are benign lesions that can occur in the oral cavity, often resulting from trauma or irritation to the salivary glands. These cysts are typically painless and may appear as small, fluid-filled sacs. They can develop in response to repeated biting or irritation, leading to localized swelling.

Another potential cause is oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition can present as white patches or bumps in the mouth, including the corners. Oral thrush is more common in individuals with weakened immune systems, those taking certain medications (like antibiotics), or those with poor oral hygiene.

Additionally, the bumps could be related to angular cheilitis, a condition characterized by inflammation and cracking at the corners of the mouth. This can sometimes lead to the formation of small white lesions. Angular cheilitis can be caused by various factors, including nutritional deficiencies (such as vitamin B12 or iron), fungal infections, or even habits like licking the lips frequently.

Another consideration is herpes simplex virus (HSV), which can cause cold sores or lesions around the mouth. While you mentioned that there is no significant pain or blistering, it's worth noting that HSV can sometimes present with subtle symptoms before more pronounced lesions develop.

Given the variety of potential causes, it is crucial to consult a healthcare professional for an accurate diagnosis. A dentist or an oral specialist can perform a thorough examination and may recommend further tests if necessary. They can also provide appropriate treatment options based on the underlying cause.

In the meantime, here are some general recommendations to manage oral health and potentially alleviate symptoms:
1. Maintain Good Oral Hygiene: Brush your teeth at least twice a day and floss daily to keep your mouth clean and reduce the risk of infections.

2. Avoid Irritants: Try to avoid spicy, acidic, or abrasive foods that may irritate the affected area.

3. Stay Hydrated: Drink plenty of water to keep your mouth moist and help wash away food particles and bacteria.

4. Use a Mouth Rinse: An antiseptic mouthwash may help reduce bacteria in the mouth and promote healing.

5. Consider Dietary Changes: If you suspect nutritional deficiencies, consider incorporating more fruits, vegetables, and whole grains into your diet, or consult a healthcare provider about supplements.

6. Manage Stress: Stress can impact your immune system and oral health, so finding ways to relax and manage stress may be beneficial.

In conclusion, while small white bumps at the corners of your mouth can arise from various conditions, a professional evaluation is essential for proper diagnosis and treatment. Don't hesitate to seek medical advice to ensure your oral health is maintained and any underlying issues are addressed promptly.

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