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Angular Cheilitis Organisms — NDEB AFK MCQ

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EasyOral PathologyAngular Cheilitis OrganismsNDEB AFK

Which of the following organisms is most commonly associated with angular cheilitis?

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Correct answer: CCandida albicans (often with Staphylococcus aureus)

Angular cheilitis (perlèche) is an infection of the commissures (corners of the mouth) most commonly caused by Candida albicans, often in mixed infection with Staphylococcus aureus (or Streptococcus species). Predisposing factors include: overclosure of the vertical dimension (deep folds at commissures trap saliva), denture wear, iron/B-vitamin deficiency, diabetes, immunosuppression, and lip-licking habits. Treatment includes antifungal cream (nystatin or clotrimazole) often combined with a topical antibacterial (mupirocin or fusidic acid), and correction of predisposing factors (restoring VDO, nutritional supplementation).

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016