In this case, it may be fat particles, lymph nodes or eczema, which should be further determined according to the symptoms and related examination. The granularity caused by more fat particles may be caused by excessive obesity, so attention should be paid to avoid alcohol and high-fat, oily food, and appropriate physical exercise to reduce weight, which can achieve good relief. For patients with eczema with itching, it is likely to be caused by allergies or other environmental stimuli. First of all, you should get rid of environmental stimuli, avoid hot water and scratching, and avoid eating spicy and allergy-prone foods, such as seafood, etc. You can also consider applying medication. We commonly use paracetamol, reserpine, and topical medications such as glyburide lotion and dermatomycin ointment.