I have a question?
Mom has a bump near the philtrum below the nostrils that looks like a herpes lesion.
My sister often has angular cheilitis.
Is it okay to apply BoroPlus cream?
Chen Jia-Hua, 40~49 year old female. Ask Date: 2022/12/12
Dr. Li Yufen reply Dermatology
Hello: Baoling Fude Shuru Cream is primarily used to treat bacterial skin infections.
If it is a simple herpes infection, specialized antiviral ointments can be used.
For angular cheilitis, it is advisable to supplement with B vitamins and vitamin C, and topical oral ointments can also be applied.
If the skin symptoms do not improve or worsen, it is recommended to consult a dermatologist for diagnosis and treatment.
Thank you!
Reply Date: 2022/12/12
More Info
Calamine lotion is a topical medication that is commonly used to relieve itching and discomfort caused by various skin irritations, including insect bites, poison ivy, and chickenpox. It has soothing properties and can help dry out oozing or weeping skin lesions. However, when it comes to herpes-like bumps, particularly those near the nose, caution is advised.
Herpes simplex virus (HSV) can cause cold sores or fever blisters, which typically appear around the lips and mouth area. These lesions can be painful, and they often present as fluid-filled blisters that eventually crust over. If the bump you are describing is indeed a herpes lesion, using calamine lotion may not be the most effective treatment. While it may provide some relief from itching, it does not have antiviral properties and will not address the underlying viral infection.
For herpes simplex lesions, antiviral medications such as acyclovir or valacyclovir are typically recommended. These medications can help reduce the severity and duration of an outbreak if taken at the first sign of symptoms. Over-the-counter options like docosanol cream (Abreva) can also be applied to the affected area to help speed up healing.
If the bump is not caused by herpes but rather by another condition, such as a pimple or a different type of skin irritation, calamine lotion might be more appropriate. However, it’s essential to ensure that the area is clean and that the lotion is applied gently to avoid further irritation.
In your case, since your mother has a bump near her nose and your sister has a history of angular cheilitis (often referred to as "口角炎"), it would be prudent to consult a healthcare professional for an accurate diagnosis. Angular cheilitis can be caused by various factors, including fungal or bacterial infections, and may require different treatment approaches.
In summary, while calamine lotion can be soothing for certain skin irritations, it is not specifically indicated for herpes lesions. If there is any doubt about the nature of the bump, or if it is causing significant discomfort, seeking medical advice is the best course of action. A healthcare provider can offer a proper diagnosis and recommend the most effective treatment options based on the specific condition.
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