Quando a queilite angular persiste apesar da terapia antimicrobiana padrão e a biópsia confirma uma etiologia predominantemente inflamatória, um caminho terapêutico distinto é aplicável.
Queilite angular que não respondeu ao tratamento com antibióticos e antifúngicos, com a natureza inflamatória da lesão confirmada por biópsia.
DOI: 10.1111/odi.13183
Moreover, pimecrolimus, as an immunosuppressor, should be reserved only in case of an AC unresponsive to antibiotics and antifungals, in which the inflammatory nature is confirmed through biopsy, in order to avoid a paradoxical worsening of clinical signs and symptoms.
After unsuccessful infiltration with triamcinolone and cryosurgery, pimecrolimus topical cream application twice a day finally lead to an almost complete remission, after 90 days of treatment.
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