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Australian Pharmacist January 2014 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
5. Kennedy M. Dermatologic manifestations of hematologic
disease [revised Jan 2012]. Medscape Reference [online].
6. Schalock PC, Isu JTS, Arndt KA, eds. Lippincott’s Primary
Care Dermatology. Philadelphia, PA: Lippincott Williams &
7. Vernillo AT. Dental considerations for the treatment
of patients with diabetes mellitus. J Am Dent Ass.
8. Fisher AA. Fisher’s Contact Dermatitis. 6th edn. Shelton, CT:
9. Allergic contact dermatitis [revised May 2013]. DermNet
NZ [online]. At: www.dermnetnz.org/dermatitis/contact-
10. Park KK, Brodell RT, Helms SE. Angular Cheilitis, Part 1: Local
Etiologies. Cutis 2011;87:289–95.
11. Oral candidiasis [revised May 2013]. DermNet NZ [online].
12. Park KK, Brodell RT, Helms SE. Angular Cheilitis, Part
2: Nutritional, systemic, and drug-related causes and
treatment. Cutis 2011;88:27–32.
13. Herpes simplex [revised Jun 2013]. DermNet NZ [online].
14. Schlosser BJ, Pirigyi M, Mirowski GW. Oral manifestations of
hematologic and nutritional diseases. Otolaryngol Clin N
15. Irritant contact dermatitis [revised May 2013]. DermNet
NZ [online]. At: http://dermnetnz.org/dermatitis/contact-
• People with habits that irritate the
corners of the mouth, like licking or
rubbing those areas, are also at risk of
developing angular cheilitis.
• Moisture gathers in skin folds at the
corner of the mouth and provides a
fertile environment for the formation
of yeast (Candida) infections.
• Successful treatment is based on
identifying and correcting each and
all contributing factors.
1. Angular cheilitis [revised Nov 2010]. DermNet NZ [online].
2. Angular cheilitis [revised Jul 2013]. BMJ Best Practice
[online]. At: http://bestpractice.bmj.com/best-practice/
3. Devani A, Barankin B. Answer: Can you identify this
condition? Can Fam Physician 2007;53(6):1022–23.
4. Iron deficiency [revised Nov 2011]. DermNet NZ [online]
continue petroleum jelly as a barrier for
You advise her to return
to the pharmacy in another two weeks if
her symptoms have not resolved as she
may have developed a fungal infection
that will need to be treated.
KEY LEARNING POINTS
• Angular cheilitis is a common
inflammatory condition that can
affect children and adults, especially
when they are in poor health.
• It occurs most frequently in people
with ill‐fitting dentures that fail to
adequately separate the upper and
1. Possible signs or symptoms of iron
deficiency anaemia include:
a) Shortness of breath and palpitations.
b) Skin pallor and pruritus.
c) Dry, brittle and fragile nails and hair.
d) All of the above.
2. Allergic contact dermatitis can be
a) Emotional stress.
b) Topical corticosteroids.
c) Minor trauma to the skin.
d) Excessive contact with irritants.
3. Choose the CORRECT statement.
a) Irritant contact dermatitis is especially
common in people with eczema.
b) Chronic pooling of saliva can trigger
recurrent herpes simplex.
c) People with dentures are less likely to
have Candida species colonised in their
d) Allergic contact dermatitis can be easily
distinguished from irritant contact
4. Angular cheilitis:
a) Is unilateral inflammation and fissuring
in one corner or angle of the mouth.
b) Mostly affects children and is a rare
inflammatory condition in adults.
c) Occurs most frequently in people with
d) Is characterised by itching, burning and
closely grouped vesicles.
5. Which of the following is NOT a
potential cause of angular cheilitis?
a) Sucking on a pencil.
b) Mouth ulcers.
c) Aggressive use of dental floss.
d) Persistent rhinitis.
Submit your answers online before
1 March 2014 at www.psa.org.au and
receive automatic feedback, or NZ
members can fax/mail to:
NZCP CPD answers,
PO Box 11 640, Wellington
F: 04 381 4786
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