#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. Baratu Bhaisara
    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. M Aamir Chippa
    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.


    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 .

    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.

    21.Nov, 06:46pm

    Dr. Rishu
    Cardiologist

    Delidion of grandeur?

    18.Mar, 03:50am




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