FootDoctor
ANGULAR CHEILIITIS:
A deficiency of B2, Riboflavin. Very common on a modern Western diet. Don’t be a vegetarian! Don’t drink any kind of soda, cola, fizzy pop drinks. Take 1 x B2 + 1x multi-B tablet for a week, (!00 to 200mg) Recommended dose i
s 1.5 to 2 mg, this is much too low for young people. 100mg once a week thereafter or 10mg daily.
Source: Experience, Merck’s manual, Upjohn’s vitamin manual, the Nurient bible by Henry Osiecki. Newton’s pharmacy.
NHMRC riboflavin recommendations for Australian adults:
– RDI men: 1.3 mg/day
– RDIwomen:1.1mg/day
“The most common signs are pallor and maceration of the mucosa in the angle of the mouth (angular stomatitis) and vermilion surfaces of the lips (cheilosis), followed by superficial linear fissures that may leave scars when healed. When these lesions are infected by Candida albicans, greyish white exuberant lesions (perleche) result. The tongue may appear magenta/ Cutaneous lesions usually affect the nasolabial folds, alae nasi, ears, eyelids, scrotum and labia majora. These areas become red, scaly and greasy and sebaceous material acccumulates in hair follicles producing dyssebacia or shark skin. Treatment: 10 to 30 mg orally per day until a response is evident. Then 2 to 4 mg until recovery.
Merck’s Manual 17th edition, section 1 Page 47