Angular cheilitis definition, cause and natural treatment

Angular cheilitis, also called angular cheilitis, is inflammation and the appearance of small cracks at the level of a corner of the lips, or both. Most often, this lesion is bilateral (on both sides). Perleche is very rarely contagious.

Affected people

Adults are the most affected by the disease, particularly those whose profession requires the wearing of a mask and among children. As for the mycotic perleche is it more frequent in the elderly (wrinkles and more on the level of the lips) and people with Down's syndrome.

How do you know you have angular cheilitis?

At sight, one cannot know that with the perlèche one must carry out a clinical examination which notes scaly and red cracks at the corners of the lips. Sometimes, the doctor takes samples from the lesions to have them analyzed. In the event of recurrent angular cheilitis, a blood test may be prescribed in order to carry out a biological assessment.

Symptoms of angular cheilitis

Perleche announces itself with painful lesions in one corner of the mouth, or even both, as well as dry lips. Those affected often describe a burning sensation.

Other symptoms

• Lesions at the corners of the lips
• Perlèche is indicated by red cracked and scaly lesions (presence of crusts), most often bilateral at the corners of the lips. The mouth opening is limited.
• The lesions may bleed when you open your mouth and spread to the lips or cheeks.
• Pain and itching in the corner of the lips
• The lesions of the angular cheilitis are painful. The pain may be accompanied by burning and itching.

The causes of angular cheilitis

The gathering of saliva at the corners of the lips can lead to the overgrowth of microorganisms, thus creating a perleche. The main cause of angular cheilitis is infectious. The bacterial perlèche is most often due to a staphylococcus (Staphylococcus Aureus) or a streptococcus. Candida perlèche is caused by the fungus Candida Albicans. Perlèches can have several causes: bacterial and fungal. There are promoting factors that allow the development of these germs. These often develop on pre-existing lesions.

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Most of the time, treatment involves applying a topical cream or taking medications, such as antibiotics and antifungals.

If the angular cheilitis is of bacterial origin, treatment consists of the application of a topical antibiotic in the form of a cream. If the angular cheilitis is due to a yeast infection (Candida), local antifungal treatment is prescribed by the doctor. Several weeks of treatment are necessary. Discover our different types of treatments.

Perleche: natural treatments

Tea Tree essential oil which has antifungal properties can be used to treat angular cheilitis. Apply a cotton ball soaked in Tea Tree EO several times a day to the lesions.

You can also make a mixture of essential oils to treat angular cheilitis: 20 drops of essential oil from palmarosa, tea tree, asp lavender in a 5 ml bottle with calendula vegetable oil. Apply a drop of the mixture morning and evening to the lesions for several weeks. 

What ointment for Perlèche?

Boiron LHF Calendula Ointment is used in the adjunct treatment of skin irritations. This ointment is used to treat pearls and irritations around the mouth.

In order not to annihilate the effects of this hydration, you must obviously avoid moistening your lips with saliva. Good oral hygiene and a balanced diet are also necessary. As soon as the perlèche appears, it is advisable to apply a moisturizing balm to your lips

How to quickly heal a Perlèche?

If the angular cheilitis is of bacterial origin, the treatment consists of the application of a local antibiotic in the form of a cream. If the angular cheilitis is due to a fungal infection (Candida), local antifungal treatment is prescribed by the doctor. Several weeks of treatment are necessary.

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Prevent angular cheilitis

You can prevent angular cheilitis by:

• Avoiding licking the corners of the lips.
• Good oral hygiene is also essential.
• People who wear dentures should remove them at night and soak them in an antiseptic solution.
• To avoid nutritional deficiencies, a varied and balanced diet is necessary. It is better to avoid the consumption of sugary products, which promote the development of candidiasis.

Finally, it is recommended that people having treatment with inhaled corticosteroids rinse their mouth after each dose.