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Angular cheilitis

Последний просмотренный: 20 Aug 2025
Last updated: 17 Nov 2022

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • dentures with palatal erythema
  • oral candidiasis
Полная информация

Другие диагностические факторы

  • pruritus
  • painful red fissures
  • eczematous dermatitis of lower face
  • specific medications
  • history of inflammatory bowel disease
  • history of acid reflux
  • history of total parenteral nutrition
  • history of eating disorders
  • alopecia
  • diarrhea/constipation
  • bloody stool
  • aphthous ulcers
  • pale, depapillated atrophic tongue
  • red, glossy, depapillated tongue
  • red atrophic tongue
  • reddish-purple depapillated tongue
  • smooth, shiny red lips
  • dental caries
  • palatal erosions
Полная информация

Факторы риска

  • age >75 years
  • male sex
  • dentures
  • immune deficiency
  • Down syndrome
  • xerostomia
  • chronic inflammatory skin disease
  • diabetes mellitus
  • Crohn disease
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • clinical diagnosis
Полная информация

Исследования, проведение которых нужно рассмотреть

  • fungal culture
  • bacterial culture
  • CBC
  • serum iron panel
  • serum vitamin B12
  • serum folate
  • serum zinc
  • fasting plasma glucose
  • HbA1c
  • HIV test
  • biopsy
  • patch testing
Полная информация

Алгоритм лечения

Острый

infectious etiology

noninfectious etiology

ПРОДОЛЖЕНИЕ

recalcitrant disease

Составители

Авторы

Wanda C. Gonsalves, MD

Professor and Vice Chair

Department of Family and Community Medicine

University of Kentucky College of Medicine

Lexington

KY

Раскрытие информации

WCG declares that she has no competing interests.

Выражение благодарностей

Dr Wanda C. Gonsalves would like to gratefully acknowledge Dr Alison Bruce and Dr Kelly R. Tierney, previous contributors to this topic. AB and KRT declare that they have no competing interests.

Рецензенты

Andrew D. Lee, MD

Resident

Department of Dermatology

Wake Forest University School of Medicine

Winston-Salem

NC

Раскрытие информации

ADL declares that he has no competing interests.

Aisha Sethi, MD

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

Раскрытие информации

AS declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Rogers RS III, Bekic M. Diseases of the lips. Semin Cutan Med Surg. 1997 Dec;16(4):328-36. Аннотация

Scully C, Bagan J-V, Eisen D, et al, eds. Angular cheilitis. Dermatology of the lips. Oxford, UK: Isis Medical; 2000:68-73.

The Primary Care Dermatology Society. Angular cheilitis (syn. angular stomatitis). Nov 2021 [internet publication].Полный текст

Schoenfeld RJ, Schoenfeld FI. Angular cheilitis. Cutis. 1977 Feb;19(2):213-6. Аннотация

Статьи, указанные как источники

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