How to Treat Darkened Corners of the Mouth After Angular Cheilitis - Dermatology

More Info

---

Angular cheilitis, also known as angular stomatitis, is a common condition characterized by inflammation and cracking at the corners of the mouth. It can occur due to various factors, including nutritional deficiencies (such as a lack of B vitamins), fungal or bacterial infections, and even mechanical factors like excessive drooling or lip licking. In your case, it seems that the initial symptoms of redness and itching have improved with the intake of B vitamins, which is a positive sign. However, the persistent darkened corners of your mouth may require further attention.

The darkening of the skin at the corners of the mouth can be attributed to several factors. One possibility is post-inflammatory hyperpigmentation, which can occur after the inflammation from angular cheilitis has resolved. This condition is characterized by dark patches of skin that remain after the initial irritation has subsided. Another possibility is that the area may still be irritated or inflamed, leading to changes in pigmentation.

To address the darkened corners of your mouth, consider the following steps:
1. Maintain Good Oral Hygiene: Ensure that you are practicing good oral hygiene. Regularly brushing your teeth and maintaining cleanliness around the mouth can help prevent further irritation.

2. Moisturize: Use a gentle, fragrance-free moisturizer or lip balm on the corners of your mouth to keep the area hydrated. This can help prevent further cracking and irritation.

3. Avoid Irritants: Be mindful of any products that may irritate the skin around your mouth, such as certain toothpaste, mouthwash, or lip products. Opt for hypoallergenic or sensitive skin formulations.

4. Sun Protection: If you are exposed to sunlight, consider applying a sunscreen or lip balm with SPF to protect the area from UV rays, which can exacerbate pigmentation issues.

5. Topical Treatments: Over-the-counter creams containing ingredients like hydroquinone, kojic acid, or azelaic acid may help lighten hyperpigmented areas. However, it's essential to consult with a dermatologist before starting any new topical treatment to ensure it's appropriate for your skin type and condition.

6. Dietary Considerations: Since angular cheilitis can be linked to nutritional deficiencies, continue to ensure that you are consuming a balanced diet rich in vitamins and minerals. Foods high in B vitamins, iron, and zinc can support skin health.

7. Consult a Dermatologist: If the darkening persists despite these measures, it may be beneficial to consult a dermatologist. They can assess the area and may recommend treatments such as chemical peels, laser therapy, or prescription-strength topical agents to help reduce pigmentation.

8. Monitor for Recurrence: Keep an eye on the corners of your mouth for any signs of recurrence of angular cheilitis. If you notice redness, itching, or cracking returning, it may be necessary to revisit your healthcare provider for further evaluation and treatment.

In summary, while the initial symptoms of angular cheilitis have improved, the darkened corners of your mouth may require a multifaceted approach to treatment. By maintaining good oral hygiene, moisturizing the area, protecting it from the sun, and possibly using topical treatments, you can work towards restoring the natural appearance of your skin. If the condition does not improve, seeking professional advice from a dermatologist is advisable.