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Forum Name: Dermatology Topics

Question: Strange White Spots appeared on my lower lip...


 giladdalig - Tue Dec 22, 2009 12:09 am

Hey all,

I don't know what is it, I never had it before in my life!! I have itching white spots in my lower lip. they grow a bit when I scratch the area... I scratched it and took pictures of it.
PLEASE help me diagnose what is this...

the photos:
http://img195.imageshack.us/img195/4112/22122009262.jpg
http://img685.imageshack.us/img685/6462/22122009265.jpg
http://img16.imageshack.us/img16/3086/22122009267.jpg
http://img96.imageshack.us/img96/1706/22122009278.jpg

WHAT IS IT??? how can I treat it?
by the way, I'm a 24 years old. male.

thank you,
GILAD.
 Dr.M.jagesh kamath - Fri Jan 08, 2010 10:52 am

User avatar Hello,With no history but only the pictures one look, would give a diagnosis of Herpes Simplex otherwise known as cold sores or herpes labialis.This is commonly aquired in childhood and remains dormant in nerve cells called ganglia.When there is reduced resistene especially during illness the virus comes to the surface and forms blisters and the lip and angle of lower lip is a common site.Stress,exposure to sun also could precipitate the condition.This is a recurrent condition and resolves with or with out medication.Auto innoculation can occur during primary infection and thus best to avoid touching eyes during outbreak.
The differential diagnosis would be Apthous stomatitis and Angular stomatitis which can be treated with Bcomplex vitamins.Acyclovir creme or tablet form internally are recommeded after confirmation of diagnosis by the physician.Chronic cases with similar appearence could be Lichen planus.So do get examined and treated.Best wishes.

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