Viêm mép môi là một tình trạng viêm ảnh hưởng đến các nếp nhăn ở khóe miệng. Tùy thuộc vào nguyên nhân nền, bệnh có thể xảy ra vài ngày hoặc kéo dài. Tên khác của bệnh bao gồm viêm khóe miệng, viêm nứt góc miệng.
Nguyên nhân
Viêm mép môi do một hoặc nhiều yếu tố sau:
- Chảy nước bọt gây ra viêm môi chàm hóa, một dạng viêm da tiếp xúc kích ứng
- Các nếp nhăn mặt xuất hiện khi lớn tuổi ( đường Marionette- nếp nhăn từ góc mép xuống cằm)
- Môi khô nứt nẻ
- Sự phát triển của vi khuẩn (bệnh chốc), nấm men (bệnh tưa miệng) hoặc do vi rút (mụn rộp do herpes).
Những ai dễ bị viêm mép môi?
Viêm mép môi thường gặp và ảnh hưởng đến cả trẻ em và người lớn, đặc biệt là khi có sức khỏe kém. Các yếu tố nguy cơ bao gồm:
- Nấm miệng (tưa miệng) : trẻ sơ sinh, người già, người bị tiểu đường, người sử dụng corticosteroid toàn thân hoặc kháng sinh
- Răng giả, đặc biệt nếu chúng không khít, và có liên quan đến bệnh tụt nướu răng
- Dinh dưỡng kém: bệnh celiac, thiếu sắt, thiếu riboflavin
- Bệnh lý toàn thân, đặc biệt là bệnh viêm ruột IBD- Inflammatory bowel disease (viêm loét đại tràng và bệnh Crohn)
- Da nhạy cảm, đặc biệt là viêm da cơ địa
- Yếu tố di truyền, ví dụ như trong hội chứng Down
- Thuốc retinoid dạng uống: isotretinoin trị mụn trứng cá, acitretin trị vảy nến.
Bệnh thường tệ hơn khi người bệnh hay liếm môi.
Đặc điểm lâm sàng
Viêm mép môi có thể dẫn đến các triệu chứng và dấu hiệu sau:
- Vết nứt gây đau
- Rộp da, trợt da, rỉ nước, đóng mài
- Đỏ da
- Chảy máu
Bệnh có thể tiến triển thành bệnh chốc hoặc nhiễm nấm Candida lan rộng hơn trên vùng da lân cận và những nơi khác trên cơ thể.
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