Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 15, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Skin Cracking at Lip Folds

Single Most Likely Diagnosis

  • Angular Cheilitis: This condition is characterized by inflammation of the corners of the mouth, often leading to skin cracking. It is commonly associated with vitamin deficiencies (e.g., vitamin B12, iron), fungal infections (like candidiasis), or bacterial infections. The cracking at the lip folds is a hallmark symptom, making it the most likely diagnosis.

Other Likely Diagnoses

  • Eczematous Cheilitis: A form of eczema that affects the lips, causing dryness, cracking, and inflammation. It can be due to allergic reactions, irritants, or atopic dermatitis.
  • Actinic Cheilitis: A condition caused by prolonged exposure to sunlight, leading to dry, cracked lips, and potentially increasing the risk of lip cancer.
  • Contact Dermatitis: An allergic or irritant reaction to substances like cosmetics, toothpaste, or food, which can cause lip cracking among other symptoms.

Do Not Miss Diagnoses

  • Lip Cancer: Although less common, skin cracking at the lip folds could be an early sign of lip cancer, especially in individuals with a history of tobacco use or excessive sun exposure. Early detection is crucial for effective treatment.
  • Syphilis: Secondary syphilis can cause mucocutaneous lesions, including cracking at the corners of the mouth. Given the potential for serious complications if left untreated, syphilis should not be overlooked.

Rare Diagnoses

  • Sjögren's Syndrome: An autoimmune disorder that can cause dryness in the mucous membranes, including the lips, potentially leading to cracking.
  • Graft-Versus-Host Disease (GVHD): In individuals who have undergone bone marrow or stem cell transplants, GVHD can cause a variety of skin symptoms, including dryness and cracking of the lips.
  • Pemphigus: A group of rare skin disorders that cause blistering of the skin and mucous membranes, which can lead to cracking and erosion of the lip folds.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.