#MedicalCase
Cheilitis - white patches and ulcers on the lips (Dermatology)
Dr. Sumaiya Jamil., MBBS
Medical Case Details:
A 30 year old Asian female presented with white patches and ulcers on the lips since two months. She has been trying over-the-counter drugs, but it is still present. I put her on Daktarin (Miconazole) ointment and a thick emollient cream. She came after three weeks and it is still not gone. I now gave her systemic antifungal medication also. What can be given next to this patient?Discussions
Dr. Bhaisara Baraturam Bhagrati
Paediatrician
Give her Multivitamins, specifically B Complex.(Deficiencies can cause ulcers)
Stop Over the Counter medications.
(Drug induced ulcer)
Paediatrician
Give her Multivitamins, specifically B Complex.(Deficiencies can cause ulcers)
Stop Over the Counter medications.
(Drug induced ulcer)
▲ 1
19.Nov, 09:30pm
Dr. Muhammad Aamir Sabir Chippa
Dermatologist
Thanks for query. Kindly upload pic for evaluation
Dermatologist
Thanks for query. Kindly upload pic for evaluation
20.Nov, 01:52pm
Dr. Divya Banu M
Dentist
Any medical history? kindly upload pic and are the ulcers painful? please give details about ulcer and patches (scarapable or not, etc). Two months is quite a long time. Should be taken seriously and further evaluation must be done.
Dentist
Any medical history? kindly upload pic and are the ulcers painful? please give details about ulcer and patches (scarapable or not, etc). Two months is quite a long time. Should be taken seriously and further evaluation must be done.
21.Nov, 08:35am
Dr. Sumaiya Jamil
General Practitioner
Before it was more scalpable now its not . its painful . somewhat like the pic attached initially but it has come down now but still small white patchesd are there .
General Practitioner
Before it was more scalpable now its not . its painful . somewhat like the pic attached initially but it has come down now but still small white patchesd are there .
File Attached: 339297-mcasecmt-5bf4f63a3bfa4-800.jpg
21.Nov, 11:37am
Dr. Shazli Naseer
Diabetologist
Please check labs, cbc, Iron panel, kidney function, vitamin b level.and if possible vitamin A levels. And thyroid function
This is not fungal so antifungal will not help.
In food stop any citrus fruit. Lemon or grape fruit.
Examine the diet.
Start vitamin B Complex 1000 units daily.
Diabetologist
Please check labs, cbc, Iron panel, kidney function, vitamin b level.and if possible vitamin A levels. And thyroid function
This is not fungal so antifungal will not help.
In food stop any citrus fruit. Lemon or grape fruit.
Examine the diet.
Start vitamin B Complex 1000 units daily.
21.Nov, 06:46pm
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