Stomatitis is inflammation of the mouth. Cheilitis is inflammation of the lip. Angular stomatitis in the painful ‘split’ at the corner of the mouth ‘labial commissure’
Commonly seen in edentulous elderlyCan be secondary candidal infection
MalnutritionElderly – poorly fitting denturesB12/6 or Folate or Iron deficiencySeborrhoeic dermatitis
Fissuring of the skin and even ulceration at the corners of the mouthOften painful with evident redness and symptoms
Oral cancer if persisting, atypical symptoms
FBC, ESR, B12, Folate, Ferritin for Megaloblastic anaemia (B12/folate deficiency)
Assessment for new dentures and wearing them will possibly help.Vioform-hydrocortisone cream (hydrocortisone 1%, clioquinol 3%) will reduce inflammation and treat staphylococcal or Candida infection.
Reference: Burket’s Oral Medicine by Michael Glick.