Angular Rhinitis - Cracked Corners Of The Mouth

Angular rhinitis

In the case of angular rhinitis, the skin at the corners of the mouth tears. This is caused by overstretching and a lack of elasticity, among other things. Cracks and sores at the corners of the mouth occur for a variety of reasons. The crevice-shaped tears can result from softening of the skin, for example through deep folds in the area of the corners of the mouth, sagging of the skin and poorly fitting dentures (prostheses).

The affected areas become red and become inflamed. Sometimes white deposits appear. Different age groups can be affected by angular cheek disease - as well as older people - for example children.

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What are the causes of angular rhinitis?

Various factors can cause angular cheek disease, tear the skin or have a negative impact on healing. These include:

• Infections with fungi, viruses (herpes viruses) and bacteria. In particular through Candida albicans (a yeast) and Staphylococcus aureus (a bacterium) or a combination of both, usually in the presence of constant moisture (see below).
• Atopic dermatitis (chronic or recurrent itchy skin inflammation), e.g. in children.
• A lack of vitamins and minerals can be beneficial, e.g. vitamin B and iron deficiency.
• With very dry skin, even slight movements of the mouth can cause the corners of the mouth to tear. Dry skin and lips are particularly favored in winter by staying outdoors in very cold, dry air, but also by staying in overheated indoor spaces, for example as a result of typical colds.
• Also leads dentures badly, eg dentures with wrong (too low) bite height or strong compression of the mouth may be angular cheilitis. Saliva that accumulates in the corners of the mouth - e.g. as a result of deep wrinkles - can also promote these.

Certain diseases such as HIV / AIDS can lead to an infection with Candida albicans.

How is the diagnosis made?

The doctor takes a close look at the affected areas in order to clarify the corner of the mouth or inflammation and determine the cause. Symptoms give information. Furthermore, among other things, the following can be carried out:

• a smear to identify a possible pathogen;
• Determination of various laboratory values (e.g. examination of the smear, examination of the blood);
• various other examinations (e.g. allergy tests).

How is the treatment carried out?

The treatment is carried out, among other things, by eliminating the cause, e.g. correcting the dentures in the case of poorly fitting dentures, treating a possible vitamin or mineral deficiency (iron or vitamin B deficiency), avoiding the trigger in the event of an allergy, etc. The optimal treatment of a possible allergy is also essential Underlying disease (e.g. diabetes mellitus, HIV).

Special ointments are used. Depending on the cause and symptoms, these are antiseptic, antifungal, antibiotic, anti-inflammatory, anti-itchy, anti-allergic and fatty ointments or a combination.

Whom can I ask?

Contact points for clarification or treatment are

• the family doctor,
• the dentist,
• the dermatologist.

In addition, doctors from other disciplines or with specializations can be involved (e.g. infectious diseases, virology). If necessary, transfers will be initiated or further investigations will be arranged.

How are the costs going to be covered?

The e-card is your personal key to the benefits of the statutory health insurance. All necessary and appropriate diagnostic and therapeutic measures are taken over by your responsible social insurance agency. A deductible or contribution to costs may apply for certain services. You can obtain detailed information from your social security agency. Further information can also be found at:

• Right to treatment
• Visit to the doctor: costs and deductibles
• What does the hospital stay cost?
• Prescription fee: This is how drug costs are covered
• Rehabilitation & cure
• Medical aids & aids
• Health Professions AZ

and via the online guide to reimbursement of social insurance costs.