Stomatitis is an inflammation that occurs at the corner of the mouth in the upper and lower lip union and can be divided into malnutrition stomatitis, infectious stomatitis, contact stomatitis and traumatic stomatitis. 1, malnutrition keratitis: caused by malnutrition or B vitamin deficiency, or caused by diabetes, anemia, immune function abnormalities and other systemic factors. The clinical manifestations are horizontal superficial chaps at the corners of the mouth, the size, depth and length of the fissure varies, the chap area can have exudate and oozing blood, with yellow scabs or blood crust, the pain is aggravated by pulling the chap when opening the mouth. Huang Diyan, Department of Stomatology, General Hospital of Jinan Military Region Treatment: Keep the area clean and dry, apply antibiotic ointment externally. Take vitamin B2 orally, 5mg, 3/day and vitamin PP tablets, 50mg, 3/day. 2, infectious stomatitis: caused by bacteria, viruses, fungi and other pathogenic microorganisms. Clinical manifestations: acute phase of the corner of the mouth area appears red, swollen and painful symptoms of infection, oozing crust obvious. Chronic local skin mucosa thickening, with fine transverse lines or radial fissures, wet white corners of the mouth, pain is not obvious. Treatment: symptomatic treatment, antibiotics for bacterial infection, topical neomycin ointment; fungal infection, oral clotrimazole 0.25 3/day. Topical application of miconazole. 3, contact stomatitis: caused by contact with allergens or toxic substances. Clinical manifestations: local congestion, edema, vesicles, increased exudate, chafing, painful and intense. Treatment: Remove allergens. Take chlorpheniramine tablets orally
4mg 3/day. External application of dexamethasone ointment. 4, traumatic stomatitis: caused by trauma. Clinical manifestations are unilateral corneal area with fissures of varying lengths, and fresh wounds often have blood oozing or blood crust. Treatment: anti-inflammatory and anti-infective.