There is a pimple in my cheek that moves

We all care about our faces. Boys will wash their faces and shave every day, and girls can spend more time on their faces, such as washing faces, skin care, and makeup. All of these are for us to appear in front of others in a better state. If we have a pimple on our face, we will definitely be concerned about it. For example, there may be a pimple inside the cheek that moves. How should we treat it at this time?

It is thought to be caused by swollen lymph nodes. It is recommended to take oral cephalosporin anti-inflammatory drugs for treatment. The symptoms will disappear naturally in about a week. Drink more water at ordinary times. Eat a light diet.

Lymph nodes are distributed throughout the body and are important immune organs of the human body. They can be divided into superficial lymph nodes and deep lymph nodes according to their location. Normal lymph nodes are mostly between 0.2 and 0.5 cm in size and are often distributed in groups. Each group of lymph nodes collects lymph from the corresponding drainage area. For example, the lymph nodes behind the ear and mastoid area collect lymph from the scalp; the submandibular lymph node group collects lymph from the floor of the mouth, buccal mucosa, gums, etc.; the cervical lymph nodes collect lymph from the nose, pharynx, larynx, trachea, thyroid, etc.; the supraclavicular lymph node group collects lymph from the esophagus, stomach and other organs on the left, and collects lymph from the trachea, pleura, lungs, etc. on the right; the axillary lymph node group collects lymph from the upper trunk, breast, chest wall, etc.; the inguinal lymph node group collects lymph from the lower limbs and perineum. Understanding the relationship between the two is of great clinical significance for determining the location and nature of the primary lesion.

Causes:

1. Infection

Acute and chronic inflammation caused by pathogenic microorganisms, such as bacteria, viruses, rickettsia, etc., such as acute cellulitis, purulent tonsillitis, gingivitis, infectious mononucleosis, scrub typhus, tuberculosis, etc.

2. Tumor

(1) Lymphoma;

(2) Various types of acute and chronic leukemia;

(3) Plasma cell tumors: multiple myeloma, primary macroglobulinemia;

(4) Tumor metastasis: lung cancer, gastric cancer, liver cancer, breast cancer, nasopharyngeal cancer, etc.

3. Reactive hyperplasia

(1) Necrotizing hyperplastic lymphadenopathy;

(2) Serum sickness and serum sickness-like reactions;

(3) Allergic subsepsis;

(4) Systemic lupus erythematosus, rheumatism, etc.

4. Abnormal cell proliferation and metabolism

(1) Langerhans histiocytosis (histiocytosis X);

(2) lipid storage disease;

(3) Sarcoidosis.

diagnosis

1. Enlargement of lymph nodes in one area is called localized lymphadenopathy, which is often seen in nonspecific lymphadenitis, lymph node tuberculosis and metastasis of malignant tumors. The primary lesion should be found according to the lymphatic drainage area. If lymph nodes are swollen in more than two areas, it should be considered as systemic lymphadenopathy, which is more common in acute and chronic lymphadenitis, infectious mononucleosis, leukemia, lymphoma, leptospirosis, scrub typhus, brucellosis, serum sickness, connective tissue disease, etc.

2. Associated symptoms can provide important clues to the cause of swollen lymph nodes.

(1) Patients with swollen lymph nodes accompanied by infection foci in the corresponding drainage areas, such as swollen submandibular and submental lymph nodes accompanied by tonsillitis and gingivitis, swollen axillary lymph nodes accompanied by mastitis, swollen postauricular lymph nodes accompanied by scalp infection, and swollen left inguinal lymph nodes accompanied by erysipelas of the left lower limb, can be diagnosed with nonspecific lymphadenitis.

(2) Lymph node enlargement accompanied by pain is usually caused by acute inflammation, often with local redness, swelling, heat and other inflammatory manifestations; while painless lymph node enlargement is common in malignant tumor metastasis, lymphoma, etc. Local lymph node enlargement accompanied by low fever, night sweats, and weight loss may indicate lymph node tuberculosis, malignant lymphoma, or other malignant tumors.

(3) Lymph node enlargement accompanied by periodic fever is often seen in malignant lymphoma; systemic lymph node enlargement accompanied by fever is seen in infectious mononucleosis, leukemia, lymphoma, etc., and occasionally in systemic lupus erythematosus.

(4) Lymph node enlargement accompanied by rash is often seen in certain infectious diseases or allergic diseases, and one should also be alert to lymphoma.