Angulite

Angulo - this is a common disease affecting the mucosa, which zonally located at the corners of the mouth( mouth rim) which is provoked by streptococcal infection or the yeast Candida subspecies( synonyms: Angulo candidiasis, fungal Angulo).It is possible to develop against a background of mixed infectious agents, this phenomenon is called angular stomatitis or angular cheilitis.

For the development of such pathological states as Angulo should be triggers - micro cracks or damage, skin diseases, as well as "habit" leading to matserirovanyu - frequent licking the lips and ample wetting of bacterially contaminated with saliva containing pathogenic agents inhabiting the oral cavity, At the lowered bite due to anatomically formed deep cutaneous facial folds. Surrendering to the dominant and involuntary desire to lick your lips, a person also prevents the healing of microcracks and infects them. Also, risk factors are the lack of vitamin-riboflavin, and in the history of such a disease as diabetes.

Often the characteristic period for the development of this disease is spring, since the body is depleted after winter and immunity is weakened by viral infections, and also the body's consumption of all necessary substances is reduced.

Candidial angulitis may also occur with prolonged treatment with antibiotic substances, cytostatic therapy or hormone therapy( especially corticosteroids).

Angulitis is what?

Angulo, provoked by pathogenic flora is important to differentiate from herpetic manifestations and sifilitichiskih papules, for quick and efficient disposal of this pathology.

Angulites are classified into these types, which is important to know for external differentiation:

• Streptococcal etiology - is more often noted in childhood;The first manifestations make their debut with the appearance of phlycids( in other words, a kind of bubble) with a characteristic sluggish thin tire;After the place of the bubble is rapidly organized slit-like erosive pathology, which is covered later by a purulent-bloody crust. After its disappearance, a scarlet moist bleeding area is easily exposed with a crack in the middle, painful when touched or when eating.

• Fungal angulitis - characterized by the formation in the corner of the lips lacquer-red erosive-like ulcers, surrounded by fringed sodden skin. Sometimes with an easily torn off gray-white lid. The cortex is absent, it is masked by the skin fold. The disease is often chronic.

The diagnosis of angulitis can be set and confirmed by laboratory diagnosis of a significant number of yeast cells or streptococcal contamination in the erosion scrap.

It is important to treat angulitis in time and most actively, as it delivers not only aesthetic problems, but it can also progress. Its very appearance already signals about failures in the immunity of a person and serves as a "primary bell" for the patient's active actions.

reasons angulita

causal factors that trigger the disease Angulo divided into external( acting from the outside on the person) and domestic( any disease of the body).The main reasons for the development of the following angulita:

- Spring exhaustion, hypovitaminosis and avitaminoznye phenomenon is particularly evident in respect of the vitamin is riboflavin( group 2).

- Violations of the material exchange of the patient's body.

- Disease of diabetes mellitus or its predisposition.

- Secondarily caused fungal angulitis. This can occur as against a background of long-term treatment with antibiotic substances, cytostatic therapy or hormone therapy( especially corticosteroids).Also, with HIV infection and AIDS - a positive status.

- Wrong formed congenitally jaw bite when frequent macerated skin surface portion of the lips( more corners of the mouth), saliva and tissue infiltration leads to disease angulitom.

- Mechanical irritation when wearing uncomfortable and poorly selected prostheses, which can change the maxillofacial bite to the worse.

- Absence of partial teeth, which also changes the bite.

- Multiple allergies of the oral cavity.

- Cariously affected teeth and poor hygiene measures for teeth and mouth in general.

- Long-lasting effect on the folds of the skin around the lips of excessively overpriced or vice versa of too low temperature factors, windy gusts.

Symptoms of Angulitis

Symptomatic of this disease is divided by species characteristics:

• Symptoms of angulitis in streptococcal etiology. It is often noted in childhood;The first manifestations make their debut with the appearance of phlycids( in other words, a kind of bubble) with a characteristic sluggish thin tire;After the place of the bubble is rapidly organized slit-like erosive pathology, which is covered later by a purulent-bloody crust. Such a crack is virtually invisible when the lips are completely closed and the mouth is covered, but when opening the mouth, it is immediately noticeable and relatively often, when unskilful movements or eating, the scab is ripped off, which also causes pain. After its disappearance, a scarlet damp, easily bleeding area is exposed with a crack in the middle, painful when touched or when eating. In many cases, there is a transition to a chronic form, and then there may be a case in case of a convenient case - reduced immunity or lack of vitamins.

• Symptoms of fungal angulitis are characterized by the formation in the corner of the lips of lacquer-red erosive-like ulcers, surrounded by fringed sodden skin. Sometimes with an easily detachable gray-white lid. The cortex is absent, it is masked by a skin-forming fold. Fungal angulitis is often a chronic disease.

General symptomatic complex: pain when talking, when a person tries to eat or when washing, in women - lip staining. Also complaints of increasing pain come after consuming sour, spicy or excessively salty foods. With neglected and severe cases, patients refuse food altogether, because it is unbearably painful for them to even open their mouths.

Treatment of angulitis

The basic principles for the effective treatment of angulitis as such are as follows:

- Treatment should certainly begin without delay and with the first signs of the disease in order to prevent the outgrowth into severe forms and chronization of the process.

- The main drugs of choice are: Levorin, Nistatin, Nizoral, Flukonazol, Lamisil, Ketoconazole and, in complicated cases and streptococcal etiology, antibiotic therapy is applicable.

- Auxiliary-restoring means: In 2 - Riboflavin and PP - nicotinic acid, Nystatin ointment, Levorin ointment, Lamisil-cream, Bura solution on glycerine 20%, oil solutions of E and A vitamin, Vishnevsky ointment, sulfur salicylic ointment, sea-buckthorn oilbutter. It is most expedient and rational to use the above-described remedies at the final healing period of the wound surface, because they eradicate pain and accelerate the healing of external symptoms. Particularly good are antibiotic-containing ointments and gels for streptococcal etiopathogenesis, since they help to get rid of the local manifestation of angulitis very quickly and effectively. In the fungal variant of the disease antimycotic ointments are shown. But do not forget that they do not eliminate the reason, and therefore, relapse is possible. Therefore, complex treatment is important - the effect not only on manifestations, but also on the root of the problem.

- Mandatory reorganization of the mouth.

- To treat angulitis was successful, it is necessary to follow the recommendations relating to the daily life arrangement. So, without fail, patients must follow a certain diet. There must be a diet, enriched with vitamins, nutrition. It is desirable to eat food items with a high content of vitamin B elements( bran, rice, nuts, beans, avocados, vegetables - especially green leafy, yolk, poultry meat, cheeses, liver of birds, almonds, Brussels and common cabbage, fish, peanuts, Apples, broccoli, pomegranates, cauliflower, any derivatives of milk).It is necessary to exclude acute, excessively acidic, pepper or pickled food, cut fried, and with this form of the disease as candida angulitis - exclude the sweet.

- Full refusal or at least refusal for an acute period from the use of alcohol-containing substances and tobacco smoking.

- The main drug course of medical treatment for treatment angulita must be supported by the use of complex multivitamins( previously confirmed hematologically lack of vitamins, because overdose is more terrible than lack), immunomodulating drugs and nutritional supplements. The main emphasis is on funds with a significantly overestimated content of A, B, C and PP - this may be, for example, Aevit. Admission must necessarily be systematic and not less than one month course.

- Traditional medicine has also proven itself in the treatment of angulitis, but it is important to use it as an auxiliary action, but beforehand consult with a doctor. First of all it is necessary to soften the affected skin, for this it is suggested to lubricate the ulcerated parts of the corners of the mouth with creamy or vegetable oil( for example, olive, corn, linseed), it is possible to use a mixture prepared from fresh cucumber juice and honey bee. Also, certain success can be observed with the use of compresses from tea tree oil or sea buckthorn oil. The rapid healing can contribute to the juice of Kalanchoe or natural aloe.

- A more noticeable result of softness in the place of affected areas can be achieved using a specially developed therapeutic cosmetics - a medical series of hygiene lip balms, lipsticks, possibly with the addition of various vitamins or oils.

- Carefully conducted oral hygiene, appear on periodic preventive examinations at your dentist to prevent the development of infection and early treatment of carious pathologies and to exclude the further spread of the bacterial flora.

- In the winter-spring period, prophylaxically drink vitaminsoderzhaschie drugs.