Cheilitis is also what we usually call fatty grains. It is a white cyst formed due to the high secretion of oil in the skin and the oil cannot be metabolized out properly, blocking the hair follicles. The formation of the chestnut pimples is related to genetic constitution. It originates from benign swellings or retained cysts in the epidermis or epithelium of the appendages, which are similar to stones, yellowish-white in appearance, about the size of a pinpoint or small rice grain, and can be seen as small white hard lumps when picked with a needle. When the skin is not clean enough, such as prolonged use of heavy eye shadow and other makeup products, or excessive use of scrubs and exfoliators, the skin around the eyes can develop very small, undetectable wounds to the naked eye, which in turn produce small white cysts – cornea – as the skin repairs itself. Often people with this problem will feel dry skin and use products with higher moisturizing
Depending on the symptoms of chestnut papules, there are two types.
1.Mature fatty grains
2. immature fatty pimples.
Manifestations of mature chestnut pimples.
White or yellow bumps, small white cysts, like small sesame seeds, pinhead to rice-sized firm papules, rounded at the top, covered with very thin epidermis. This type of chestnut papule is better recognized.
Immature chestnut papules are not yet fully developed and are not visible in appearance.
Symptoms of immature chestnut papules.
The skin does not look very smooth, and the skin is giggly when touched by hand, with small bumps hidden inside the skin, and white bolus-like material can be discharged with a needle.
Mature chestnut papules usually grow around the eyes and can be easily confused with sweat duct tumors.
How can we distinguish chestnut pimples from sweat duct tumors?
1, sweat duct tumors are usually symmetrical and long, but not necessarily fatty grains.
2. Chestnut pimples can discharge white particles, while sweat duct tumors cannot be photographed.
3. Mature chestnut papules are mostly white in color, while sweat duct tumors are the same as skin color, and sweat duct tumors generally have a waxy sheen.
Chestnut papules and sweat duct tumors are twin sisters, often with mixed growths and different treatment methods due to different causes.
Introduction to sweat duct tumors
Sweat duct tumor is a tumor like a ‘mole’ formed by the blockage of small sweat ducts and the dysfunction of fat metabolism, which stimulates the thickening of the epidermis of small sweat ducts to form a fatty accumulation that protrudes from the skin surface and forms a papule. It is a kind of misshapen tumor from the small sweat ducts, which is a benign tumor and not harmful to health.
Western medicine believes that sweat duct tumors increase in size and swelling during puberty, pregnancy, menstruation or the use of female hormones, and that the symptoms worsen and may be endocrine-related. Some patients have a family history of heredity, which is a matter of genetic inheritance, often in an autosomal dominant manner, usually inherited from mother to daughter.
In Chinese medicine, it is believed that the skin couples and pores are not dense, and wind-heat and evil toxins invade the skin, or the human body has liver deficiency and blood dryness, and the tendons and qi are not honored, which accumulate in the skin and produce papules.
The skin lesions are normal or light brown.
The lesions are normal-skinned or light brown, hemispherical, slightly elevated papules, soft, smooth, 2-3 m in diameter, scattered or dense but not fused.
Most of them have no conscious symptoms, but a few patients have occasional itching in the summer when they sweat a lot, and sweat tumors on the female pubic area often have severe itching.
They are easily confused with flat warts, fatty grains (chestnut papules), epithelial hair tumors, and facial xanthomas.
It is not harmful to the body, but it does affect the aesthetics, destroying the beauty of the face and causing a lot of mental stress to female patients.
The current treatment for sweat tuberculosis is mostly physical, such as laser, freezing, acidic corrosion, which can only remove it temporarily, but after a few months it will come back and grow more than the original, and it will easily leave scars and hyperpigmentation.
Introduction to Flat Warts
The skin is a viral skin disease, which is caused by HPV3 and HPV5 infection, like common warts. It is a soft, smooth, pale brown, or flat papilloma that is scattered on the surface of the skin.
In Chinese medicine, it is believed that liver fire, or liver qi stagnation, blood stagnation and wind-heat poisonous evil in the skin.
According to Western medicine, flat warts are a common viral infection that affects the appearance of the skin. In the early stages of the disease, the color is the same as the skin, a flat elevation of rice grain to soybean, the surface is smooth and hard, over time the rash will become light brown, brown or gray. The actual fact that the virus is “self-inoculating”, if scratched, will cause the warts to be distributed along the scratches in a beaded pattern.
They are easily confused with sweat duct tumors, fatty grains, and yellow tumors in appearance.
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