angular cheilitis
Introduction
Introduction to angular inflammation Ankylosing inflammation (angularcheilitis) is an acute or chronic inflammation of the skin and its adjacent mucosa caused by different factors. It is mainly prevalent among children, and is related to the infection of S. pyogenes or Candida albicans or the lack of vitamin B2 and vitamin P. basic knowledge Probability ratio: 5% of the population's disease probability Susceptible people: good for children Mode of infection: non-infectious Complications: Oral ulcers Vitamin C deficiency
Cause
Cause of keratitis
(1) Causes of the disease
Mechanical factors: For example, the position of the teeth is not suitable, causing the upper lip to be pressed against the lower lip, and the corner of the mouth is wrinkled, and the mucosa is often in the impregnation.
Nutritional deficiency: riboflavin deficiency, accompanied by strawberry-like tongue and scrotum itching, excessive labor, excessive physical exertion or physical weakness, malnutrition, iron, insufficient protein supply and multiple vitamin deficiency, such as niacin , vitamin B6, etc. can cause this disease.
Infection: Most of the pathogens are low-toxic pyogenic bacteria or Candida albicans, which are more common in children.
Some skin diseases, such as atopic dermatitis, seborrheic dermatitis with oral keratitis, drooling invagination can cause the disease; biting fingers, bite pens can also cause the disease.
(two) pathogenesis
Mucosa is often in immersion, lack of nutrition, lack of riboflavin, excessive labor, excessive physical exertion or physical weakness, malnutrition, iron, insufficient protein supply and multiple vitamin deficiency, infection, etc. can occur.
Prevention
Oral keratitis prevention
Ensuring adequate nutrient supply, heavy physical workers supplement a variety of vitamins, children on the basis of ensuring nutrition, pay attention to the cultivation of good habits, but also to prevent infection, but also to add a variety of vitamins.
Complication
Anginal complication Complications, oral ulcers, vitamin C deficiency
The incidence of contact keratitis is faster. After contact with allergens, there is congestion, edema, erosion, cleft palate in the area of the mouth, and there are more exudates and obvious pain. In addition to the lesions in the mouth area, the lip red part also appears congestion, edema, erosion, and sometimes the oral mucosa can also have a wide range of hyperemia, erosion and other allergic reactions. In severe cases, there may be systemic allergic reactions such as rash, asthma, and difficulty breathing.
Symptom
Symptoms of Oral Symptoms Common Symptoms Pustules Lips Drying Sputum Children's Mouth Angle Ulcers Children's Long Teeth Firing Horns Outward Radioactive Wrinkles Lips Drying Muscles Sticking Mucosal Damage
Initially dry lips, erythema at the corners of the mouth, edema, exudate, crusting, localized mucous membranes when the skin is wet, cleft palate, rough desquamation occurs with radioactive wrinkles outward from the mouth, if malnourished, anemia, riboflavin Lack of infection may be associated with oral, lingual and genital mucosal damage, such as smooth tongue, scrotal skin redness and corresponding systemic symptoms, multiple bilateral symmetry, unilateral onset, consciously burning, malnourished children, mouth Pustules can appear around and around, and are associated with infection with pyogenic bacteria.
Examine
Examination of angular keratitis
In the acute phase, the mouth area is congested, red and swollen, and there may be bleeding or purulent secretions. Bloody fistula is formed and the pain is obvious.
There are radial cracks in the mouth of the chronic phase, and the skin mucosa is thick and grayish white, and the red part of the lips is dry and desquamate, and the pain is not obvious.
Microbiological examinations such as routine blood tests, bacterial cultures, and fungal cultures can be clearly diagnosed.
The dialectical of Chinese medicine belongs to the spleen and stomach stagnation, the tongue coating is yellow and greasy, and the spleen is wet and turbid, and the tongue is pale and white.
Diagnosis
Diagnosis of angular cheilitis
diagnosis
The lips are dry, and the mouth can be immersed, moistened, smashed, chapped, and consciously have a burning sensation, which can be diagnosed according to clinical manifestations.
Differential diagnosis
In children with malnutrition, pustules can appear in and around the mouth and be differentiated from infection with pyogenic bacteria.
