I Have Angular Cheilitis but Only Dark Brown Spots and Fine Paper Cuts, What Can I Do? (photo)

I have a mild version of angular cheilitis or irritant contact dermatitis due to saliva. No peeling no bleeding only burning sensation. It is simply dark brown if I apply Vasline I don't even see paper cuts. But I can't get rid of these spots. I applied hydroquinone 4, Nystatin and Desonide but no effect not even a bit. I am curious can I apply Salicylic or TCA on these spots and just a peeling effect to get rid of the upper dark skin? I did have a peeling before but it came back on new skin.

Doctor Answers 2

Don't manage your angular cheilitis yourself

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Sometimes the best thing to do is get professional assistance. See a board-certified dermatologist. There are a number of reasons a person can have angular cheilitis. Address the underlying cause first and the dark spots will fade on their own or respond more readily to treatment. Good luck!

New York Dermatologist

I would recommend that you see a board certified dermatologist.

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Sometimes medical issues are beyond simple home remedies.  I would recommend that you seek the help of a dermatologist for assistance with this issue.  I agree that you need help for these pigmented areas.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.