Cheilosis: Causes, Symptoms & Treatment | SPARSH Hospital

Cheilosis

Introduction

Cheilosis is a condition that causes inflammation, cracks, and sores at the corners of the mouth. It is often linked to cheilosis vitamin deficiency, particularly cheilosis vitamin B2 (riboflavin deficiency), and may also be associated with iron deficiency. Symptoms include painful cracks, redness, and swelling at the mouth’s edges. Causes of cheilosis include nutritional deficiencies, excessive saliva exposure, infections, and certain medical conditions. Cheilosis treatment depends on the cause and may include dietary changes, vitamin supplements, and topical treatments. Seeking medical advice is essential if symptoms persist or worsen.

Understanding Cheilosis

Cheilosis, also known as angular cheilitis, is a condition that primarily affects the corners of the mouth. It causes painful cracks, redness, and irritation, making activities like eating, speaking, and smiling uncomfortable. This condition is often associated with cheilosis vitamin B deficiency, particularly riboflavin (B2), and can also be linked to iron deficiency.

While cheilosis of the lips may seem minor at first, if left untreated, it can lead to persistent discomfort, infections, and even scarring. In some cases, chronic exposure to the sun can lead to solar cheilosis, a more serious condition that increases the risk of lip damage and even precancerous changes.

Understanding the cheilosis causes and symptoms can help in early diagnosis and effective treatment.

Symptoms of Cheilosis

The symptoms of cheilosis can range from mild irritation to severe discomfort. Common signs of cheilosis include:

Cracked and split corners of the mouth – These fissures can be painful and may bleed in severe cases, making it difficult to eat or speak comfortably. The cracks can deepen over time if not treated properly.

Redness and swelling – The skin around the mouth corners may become inflamed and tender, often accompanied by a burning sensation. This can make even slight facial movements uncomfortable.

Dryness and peeling – Affected areas may feel tight, with visible peeling of the skin. Lips may also become excessively dry, leading to further irritation and discomfort.

Pain and irritation – Everyday activities like eating, talking, or smiling can become painful, sometimes causing a stinging or burning sensation, especially when consuming spicy or acidic foods.

Crusting and scabbing – In more advanced cases, the cracks may form scabs that reopen when the mouth moves, prolonging the healing process and increasing the risk of infection.

Infections – If left untreated, bacteria or fungi can infect the area, worsening symptoms and delaying healing. In severe cases, an infection can spread, requiring medical intervention with antifungal or antibiotic treatments.

What Causes Cheilosis?

There are multiple causes of cheilosis, ranging from nutritional deficiencies to infections and environmental factors.

Nutritional Deficiencies

One of the most common cheilosis causes is a cheilosis vitamin B2 deficiency, also known as riboflavin deficiency, which leads to cracks and inflammation around the lips. Iron deficiency can also contribute to cheilosis deficiency, making the lips more vulnerable to damage.

Excessive Saliva and Moisture

Constant exposure to saliva, especially in people who frequently lick their lips, can cause cheilosis of the lips. Saliva breaks down the protective skin barrier, leading to irritation and cracking.

Infections

Bacterial or fungal infections, particularly those caused by Candida (a type of yeast), can worsen cheilosis. People with weakened immune systems or those wearing dentures are at a higher risk.

Ill-Fitting Dentures and Dental Issues

Poorly fitted dentures can create folds in the skin around the mouth, trapping moisture and leading to cheilosis of the lips. Similarly, excessive drooling or improper oral hygiene can contribute to the condition.

Sun Damage (Solar Cheilosis)

Prolonged sun exposure can cause solar cheilosis, leading to dry, cracked lips with potential precancerous changes. This condition is more common in individuals with fair skin or those exposed to harsh sunlight for extended periods.

Other Medical Conditions

Cheilosis can also be associated with medical conditions such as:

  • Diabetes – Increases susceptibility to fungal infections.
  • Autoimmune disorders – Conditions like lupus can cause inflammation around the lips.
  • Anemia – A lack of iron in the blood can contribute to cheilosis iron deficiency.

Treatment of Cheilosis

Cheilosis treatment focuses on addressing the underlying cause and relieving symptoms.

Correcting Nutritional Deficiencies

  • Increasing intake of cheilosis vitamin B2 (riboflavin) through foods like dairy, eggs, lean meats, and leafy greens.
  • Taking iron supplements if cheilosis iron deficiency is diagnosed.
  • Ensuring a well-balanced diet to prevent further cheilosis deficiency.

Topical Treatments

  • Applying petroleum jelly or lip balms to keep the area moisturized.
  • Using antifungal or antibacterial creams if an infection is present.
  • Hydrocortisone creams may be prescribed to reduce inflammation and irritation.

Lifestyle and Oral Care Adjustments

  • Avoid licking lips and minimize exposure to saliva.
  • Maintain good oral hygiene and ensure dentures fit properly.
  • Use sun protection to prevent solar cheilosis.

Medical Interventions

If symptoms persist despite treatment, a doctor may recommend blood tests to check for underlying conditions contributing to cheilosis deficiency.

When to See a Doctor?

While mild cases of cheilosis can improve with home remedies, you should seek medical attention if:

  • The cracks do not heal despite self-care measures.
  • There are signs of infection, such as pus or excessive redness.
  • You experience recurring episodes of cheilosis.
  • You have other symptoms like fatigue, pale skin, or unusual bruising, which could indicate cheilosis vitamin deficiency or anemia.

Consult a dermatologist in Bangalore at SPARSH for treating cheilosis of the lips with proper diagnosis and care.

Conclusion

Cheilosis is a common yet often overlooked condition that can cause significant discomfort if not managed properly. Understanding the causes of cheilosis—from cheilosis vitamin B deficiency to infections and environmental factors—can help in timely treatment. By making dietary improvements, maintaining good oral hygiene, and using appropriate treatments, most cases can be effectively managed. However, if symptoms persist or worsen, consulting a doctor is crucial to prevent complications.

FAQ's

What is the cause of cheilosis?

The causes of cheilosis include cheilosis vitamin deficiency (especially cheilosis vitamin B2 deficiency), iron deficiency, excessive moisture exposure, infections, sun damage, and medical conditions like diabetes or anemia.

Which vitamin deficiency causes cheilosis?

Riboflavin deficiency causes cheilosis, as vitamin B2 plays a key role in maintaining healthy skin and tissue repair. Iron deficiency may also contribute to the condition.

What is the prevention of cheilosis?

Preventing cheilosis involves:

  • Eating a balanced diet rich in cheilosis vitamin B2 (riboflavin) and iron.
  • Maintaining good oral hygiene.
  • Keeping lips moisturized and avoiding excessive licking.
  • Using sunscreen to prevent solar cheilosis.
  • Treating underlying medical conditions that contribute to cheilosis deficiency.