Malnutritional angular stomatitis often occurs in people with nutritional deficiency and vitamin B deficiency, and angular stomatitis caused by vitamin B deficiency is the most common. It is characterized by wet white, erosion or ulcer on both sides of the oral cavity, with transverse cracks, and even extending from the oral cavity to the oral mucosa or perioral skin. The cracks are different in depth and length, and the pain is not obvious. The mouth often hurts when it is stimulated. Often accompanied by chapped lips, chapped lips, occasional scales and slightly swollen lips. The back of the tongue is smooth, filamentous papillae atrophy, scattered in swollen mushroom papillae, and there are often tooth marks on the edge of the tongue. Often accompanied by cheilitis and glossitis. Treatment should strengthen nutrition and supplement vitamin B complex.
Coccoid angular stomatitis is caused by streptococcal and staphylococcal infections. It is more common in elderly edentulous patients. It is characterized by wet white corners of the mouth, erosion or ulcer, transverse fissure, suppuration, bleeding and scabbing. After local cleaning, antibiotics (such as erythromycin ointment) should be applied to the treatment, and broad-spectrum antibiotics such as penicillin V potassium tablets, sulfonamides and spiramycin can be taken orally.
Fungal keratitis is caused by fungal (mainly Candida albicans) infection. It is wet and white, with obvious white corners on both sides, erosion or ulcer, transverse fissure, suppuration, bleeding and scabbing, often accompanied by cheilitis and lip erosion. PAS staining showed candida hyphae. Treatment should be washed and dried locally with nystatin solution, and then applied locally with nystatin, clotrimazole and miconazole.
Medically known as angular stomatitis, it is characterized by flushing, blistering, chapping, erosion, scabbing and desquamation. Open your mouth and you will bleed. Besides the dry climate, the lack of B vitamins such as B2 is also the main reason.
Preventive strategy: arrange more foods rich in B vitamins, such as animal liver, lean meat, eggs, milk, bean products, carrots and fresh green leafy vegetables. At the same time, educate children not to lick their lips and tear their skin, so as not to induce or aggravate "bad mouth".
Emergency treatment: once you suffer from angular stomatitis, you can take vitamin B complex orally and apply it locally with ointment made of borax powder and honey, or apply it locally with boron ice powder and indigo naturalis powder.
2, dry skin
In autumn, the skin is more eager to nourish, and the thickness of children's skin is only one tenth of that of adults, which is extremely delicate and easy to lose water. Especially when the weather is cold, the skin will be drier, and in severe cases, it will be chapped, causing redness and pain.
Preventive strategy: keep the indoor humidity reasonable and put a basin of water next to the children in the air-conditioned room; When going out, put on gloves, hats and masks for children to avoid exposing their skin to cold and dry environment; Moisturize and protect skin with baby lotion at any time to reduce friction with clothes; Especially easy to dry parts should be coated with moisturizer, such as cheeks, forehead, buttocks and so on.
Emergency treatment: After chapped skin appears, it can be coated with nourishing antibacterial ointment, such as antifreeze ointment and chlortetracycline ointment.
Prevention and treatment of chapped lips mainly depends on eating more fresh vegetables, such as soybean sprouts, rape, Chinese cabbage, white radish and so on. Try to wear a mask and keep your lips warm and moist. You can also apply some grease, such as flour oil, sesame oil or other edible oil, or honey and chilblain cream. If you feel chapped lips, don't always lick them with your tongue, which will accelerate the occurrence of chapped lips. The principle of treatment is also to adjust the diet as the most important. In addition, oral riboflavin (5 mg of vitamin B2, 3 times a day for 2 weeks) can generally be cured. 1% gentian violet can be used externally, twice a day. After using gentian violet, if you feel uncomfortable when the wound is chapped, you can apply chlortetracycline eye ointment or oxytetracycline ointment externally on the chapped part, or apply a little peanut oil or vegetable oil. But never use hormone ointment (such as fluoxetine and cortisone). The topic can also be coated on the pot cover with distilled water, three times a day, and it can also be effective in 2-3 days.