Cheilitis - white patches and ulcers on the lips

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)

19.Nov, 09:30pm

Dr. Muhammad Aamir Sabir 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 .

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.

21.Nov, 06:46pm

Dr. Rishu Sharma
Cardiologist

Delidion of grandeur?

18.Mar, 03:50am

Dr. Sumaiya Jamil
General Practitioner

??

18.Mar, 09:27pm

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