For example, angular cheilitis
can occur spontaneously or may be related to several precipitating factors (e.g., systemic immune suppression, local irritation and moisture, fungal/bacterial infection).
* Acute pseudomembranous glossitis was the commonest morphological type of the lesion encountered in this study (35%) followed by chronic erythematous candidiasis (22%), Angular cheilitis
(21%), acute erythematous glossitis (19%), balanoposthitis (2%) and median rhomboid glossitis (1%).
Oral candidias is and its pseudomembranous, angular cheilitis
, erythematous and oropharyngeal variants were reported in most studies (1,2,16,17,19).
In an earlier study, Rhodus and Johnson showed a high prevalence of oral lesions among SLE patients, including angular cheilitis
, ulcers, mucositis, and glossitis.
Upon extraoral examination, scarce, fine and silky hair, alopecia of the eyelashes and eyebrows, prominent frontal bossing, discrete bilateral deformity and low implantation of the ear, perioral dermatitis and fissures, bilateral angular cheilitis
, periorbital pigmentation, and deep nasolabial sulcus were evidenced (Figure 4).
Distribution of dermatological lesions were as follows: pallor was present in 119 (74.4%) patients, hyperpigmentation in 115 (71.9%) patients, xerosis in 96 (60%), pruritus in 91 (56.9%), ecchymosis and petechiae in 28 (17.5%), fissured tongue in 18 (11.3%), angular cheilitis
in 3 (1.9%), ulcerative stomatitis in 22 (13.8%), half-and-half nails in 55 (34.4%) and koilonychia was present in 5 (3.1%) patients.
This commissural lesion was not a simple fissure as seen in angular cheilitis
Fissures can be observed in the central area (central cheilitis), corners of the mouth (angular cheilitis
) or other areas of the involved lip (19).
The boy was well nourished and denied the history of beriberi, angular cheilitis
, and anemia.
Therefore, depending on the clinical manifestation, differential diagnosis are trauma caused by bites, fibroepithelial hyperplasia, lichen planus, pemphigus vulgaris, ulcer associated with trauma, angular cheilitis
, spinocellular carcinoma, aphthous ulcers, and leukoplakia (Table 1).
(1) Cheilitis is classified into various types: angular cheilitis
, actinic cheilitis, contact cheilitis, plasma cell cheilitis, cheilitis gland-ularis, cheilitis granulomatosa, exfoliative cheilitis and factitious cheilitis.