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Angular cheilitis

MedGen UID:
526202
Concept ID:
C0221237
Disease or Syndrome
Synonyms: angle of oral opening cheilitis; Angular Cheilitis; angular cheilitis; Angular cheilosis; angular cheilosis; Angular stomatitis; angular stomatitis; cheilitis of angle of oral opening; Cheilosis; cheilosis; Commissural cheilitis; commissural cheilitis; Inflammation of corners of the mouth; Inflammation of oral commisures; Perleche; perleche; Perlèche; perlèche; Red and sore corners of the mouth
SNOMED CT: Perlèche (266429005); Angular cheilitis (266429005); Angular stomatitis (266429005); Perleche (266429005)
 
HPO: HP:0030318
Monarch Initiative: MONDO:0000741

Definition

A type of inflammation of the lips involving one or both of the corners of the mouth. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAngular cheilitis

Conditions with this feature

Pachyonychia congenita 2
MedGen UID:
314107
Concept ID:
C1721007
Disease or Syndrome
Pachyonychia congenita (PC) is characterized by hypertrophic nail dystrophy, painful palmoplantar keratoderma and blistering, oral leukokeratosis, pilosebaceous cysts (including steatocystoma and vellus hair cysts), palmoplantar hyperhydrosis, and follicular keratoses on the trunk and extremities.
Hereditary hypotrichosis with recurrent skin vesicles
MedGen UID:
442697
Concept ID:
C2751292
Disease or Syndrome
Hypotrichosis and recurrent skin vesicles (HYPTSV) is characterized by sparse to absent scalp hair, eyebrows, eyelashes, and body hair, as well as recurrent vesicles of scalp and skin. Some patients also exhibit trauma-induced blistering, and anomalies of dental enamel and of nails may be observed (Ayub et al., 2009; Onoufriadis et al., 2020).
Peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
MedGen UID:
902464
Concept ID:
C4225381
Disease or Syndrome
A rare genetic skin disease characterized by generalized skin peeling, leukonychia, acral punctate keratoses coalescing into focal keratoderma on the weight-bearing areas, angular cheilitis and knuckle pads with multiple hyperkeratotic micropapules. The skin appears dry and scaly with superficial exfoliation and underlying erythema. Histopathologic examination of affected skin areas shows hyperkeratosis, acanthosis and intraepidermal clefting with irregular acantholysis. Additional systemic abnormalities are absent.
IFAP syndrome 2
MedGen UID:
1763502
Concept ID:
C5436607
Disease or Syndrome
Follicular ichthyosis, atrichia, and photophobia syndrome-2 (IFAP2) is characterized by ichthyosis follicularis or follicular hyperkeratosis, sparse to no body hair, and photophobia with corneal lesions. Ultrastructural hair analysis shows trichorrhexis nodosa (Wang et al., 2020). For a discussion of genetic heterogeneity of IFAP syndrome, see IFAP1 (308205).

Professional guidelines

PubMed

Rossini RC, Dellatorre G, Mesquita LAF, Tarlé RG
J Dermatolog Treat 2021 Dec;32(8):1049-1052. Epub 2020 Feb 27 doi: 10.1080/09546634.2020.1724865. PMID: 32072836
Park KK, Brodell RT, Helms SE
Cutis 2011 Jul;88(1):27-32. PMID: 21877503
Appleton SS
J Calif Dent Assoc 2000 Dec;28(12):942-8. PMID: 11323949

Recent clinical studies

Etiology

McReynolds DE, Moorthy A, Moneley JO, Jabra-Rizk MA, Sultan AS
J Prosthodont 2023 Aug;32(7):560-570. Epub 2023 Apr 18 doi: 10.1111/jopr.13687. PMID: 36988151
Ralho A, Coelho A, Ribeiro M, Paula A, Amaro I, Sousa J, Marto C, Ferreira M, Carrilho E
J Evid Based Dent Pract 2019 Dec;19(4):101318. Epub 2019 Apr 8 doi: 10.1016/j.jebdp.2019.04.002. PMID: 31843181
Muhvić-Urek M, Tomac-Stojmenović M, Mijandrušić-Sinčić B
World J Gastroenterol 2016 Jul 7;22(25):5655-67. doi: 10.3748/wjg.v22.i25.5655. PMID: 27433081Free PMC Article
Novacek G
Orphanet J Rare Dis 2006 Sep 15;1:36. doi: 10.1186/1750-1172-1-36. PMID: 16978405Free PMC Article
Akpan A, Morgan R
Postgrad Med J 2002 Aug;78(922):455-9. doi: 10.1136/pmj.78.922.455. PMID: 12185216Free PMC Article

Diagnosis

Li C, Wu Y, Xie Y, Zhang Y, Jiang S, Wang J, Luo X, Chen Q
Front Immunol 2022;13:1013900. Epub 2022 Sep 29 doi: 10.3389/fimmu.2022.1013900. PMID: 36248861Free PMC Article
Iranmanesh B, Khalili M, Amiri R, Zartab H, Aflatoonian M
Dermatol Ther 2021 Jan;34(1):e14578. Epub 2020 Dec 13 doi: 10.1111/dth.14578. PMID: 33236823Free PMC Article
Hellstein JW, Marek CL
Head Neck Pathol 2019 Mar;13(1):25-32. Epub 2019 Jan 29 doi: 10.1007/s12105-019-01004-6. PMID: 30693459Free PMC Article
Muhvić-Urek M, Tomac-Stojmenović M, Mijandrušić-Sinčić B
World J Gastroenterol 2016 Jul 7;22(25):5655-67. doi: 10.3748/wjg.v22.i25.5655. PMID: 27433081Free PMC Article
Akpan A, Morgan R
Postgrad Med J 2002 Aug;78(922):455-9. doi: 10.1136/pmj.78.922.455. PMID: 12185216Free PMC Article

Therapy

Kirlioglu SS, Unaldi N
Am J Ther 2022 Sep-Oct 01;29(5):e605-e606. Epub 2020 Mar 25 doi: 10.1097/MJT.0000000000001168. PMID: 32235145
Ralho A, Coelho A, Ribeiro M, Paula A, Amaro I, Sousa J, Marto C, Ferreira M, Carrilho E
J Evid Based Dent Pract 2019 Dec;19(4):101318. Epub 2019 Apr 8 doi: 10.1016/j.jebdp.2019.04.002. PMID: 31843181
Muhvić-Urek M, Tomac-Stojmenović M, Mijandrušić-Sinčić B
World J Gastroenterol 2016 Jul 7;22(25):5655-67. doi: 10.3748/wjg.v22.i25.5655. PMID: 27433081Free PMC Article
Novacek G
Orphanet J Rare Dis 2006 Sep 15;1:36. doi: 10.1186/1750-1172-1-36. PMID: 16978405Free PMC Article
Akpan A, Morgan R
Postgrad Med J 2002 Aug;78(922):455-9. doi: 10.1136/pmj.78.922.455. PMID: 12185216Free PMC Article

Prognosis

McReynolds DE, Moorthy A, Moneley JO, Jabra-Rizk MA, Sultan AS
J Prosthodont 2023 Aug;32(7):560-570. Epub 2023 Apr 18 doi: 10.1111/jopr.13687. PMID: 36988151
Sharon V, Fazel N
Dermatol Ther 2010 May-Jun;23(3):230-42. doi: 10.1111/j.1529-8019.2010.01320.x. PMID: 20597942
Novacek G
Orphanet J Rare Dis 2006 Sep 15;1:36. doi: 10.1186/1750-1172-1-36. PMID: 16978405Free PMC Article
Skinner N, Junker JA, Flake D, Hoffman R
J Fam Pract 2005 May;54(5):470-1. PMID: 15865910
Akpan A, Morgan R
Postgrad Med J 2002 Aug;78(922):455-9. doi: 10.1136/pmj.78.922.455. PMID: 12185216Free PMC Article

Clinical prediction guides

Krämer S, Hillebrecht AL, Wang Y, Badea MA, Barrios JI, Danescu S, Fuentes I, Kartal D, Klausegger A, Ponce de León E, Schilke R, Yordanova I, Bloch-Zupan A, Has C
JAMA Dermatol 2024 May 1;160(5):544-549. doi: 10.1001/jamadermatol.2024.0065. PMID: 38506824Free PMC Article
Rossini RC, Dellatorre G, Mesquita LAF, Tarlé RG
J Dermatolog Treat 2021 Dec;32(8):1049-1052. Epub 2020 Feb 27 doi: 10.1080/09546634.2020.1724865. PMID: 32072836
Shimoyama H, Sei Y
Med Mycol J 2019;60(3):75-82. doi: 10.3314/mmj.19.007. PMID: 31474694
Novacek G
Orphanet J Rare Dis 2006 Sep 15;1:36. doi: 10.1186/1750-1172-1-36. PMID: 16978405Free PMC Article
Ohman SC, Dahlén G, Möller A, Ohman A
J Oral Pathol 1986 Apr;15(4):213-7. doi: 10.1111/j.1600-0714.1986.tb00610.x. PMID: 3088236

Recent systematic reviews

Diaconescu S, Strat S, Balan GG, Anton C, Stefanescu G, Ioniuc I, Stanescu AMA
Medicina (Kaunas) 2020 Aug 23;56(9) doi: 10.3390/medicina56090425. PMID: 32842528Free PMC Article
Ralho A, Coelho A, Ribeiro M, Paula A, Amaro I, Sousa J, Marto C, Ferreira M, Carrilho E
J Evid Based Dent Pract 2019 Dec;19(4):101318. Epub 2019 Apr 8 doi: 10.1016/j.jebdp.2019.04.002. PMID: 31843181
Serrano J, Lopez-Pintor RM, Gonzalez-Serrano J, Fernandez-Castro M, Casanas E, Hernandez G
Med Oral Patol Oral Cir Bucal 2018 Jul 1;23(4):e391-e400. doi: 10.4317/medoral.22286. PMID: 29924754Free PMC Article
de Almeida VL, Lima IFP, Ziegelmann PK, Paranhos LR, de Matos FR
Int J Oral Maxillofac Surg 2017 Nov;46(11):1497-1504. Epub 2017 Jul 3 doi: 10.1016/j.ijom.2017.06.008. PMID: 28684301
Skrzat A, Olczak-Kowalczyk D, Turska-Szybka A
Acta Paediatr 2017 Feb;106(2):199-203. doi: 10.1111/apa.13686. PMID: 27896868

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