What causes acne under the eyelids?

It is quite common to have pimples under the eyelids in life. At this time, we need to understand what the pimples are. The most common one is blackheads, which are easy to occur due to blockage of skin hair follicles or inflammation. Of course, it may also be skin warts in the eyelid area, which are also prone to this skin disease. The chance of xanthomas is also relatively high. In addition, we should be alert to styes, granulomas, or some tumors.

The first type of "pimples": skin warts Skin warts are a common skin disease caused by human papillomavirus (HPV). Commonly known as "warts", skin warts are highly contagious and can appear on any part of the human body. If they grow on the eyelids, they will form small bumps.

Its characteristics are: protrusions on the skin surface, no tenderness, easy to spread and spread. If found, you need to go to the dermatology department in time. You can refer to the following pictures.

The second category of "bumps": Xanthomas are placed in the second category because, firstly, there are more and more patients with xanthomas, and secondly, in clinical practice, some people often confuse them with skin warts. Some even name xanthomas "palpebral xanthoma" in "Baidu Encyclopedia". The author believes that this definition is not standard and can even be said to be wrong.

Because "xanthomas" and "skin warts" are essentially different. Xanthomas are not actually tumors, nor are they caused by viral infections. Instead, they are the deposition of lipid-like substances in the skin tissue. They are more common in patients with high blood lipids. The lesions often occur near the inner canthus of the upper eyelid, often on both sides. Skin warts are a skin disease caused by human papillomavirus.

The traditional method for treating xanthomas is surgery, but there is a possibility of recurrence after resection. The currently recommended treatment method is local injection of heparin. The author has treated many similar patients in clinical practice and the results are very good. There is no need to worry about recurrence and scarring like surgery. The picture below is a typical picture of a xanthomas patient.

The third type of "pimple": hordeolum. Hordeolum, also known as stye and hordeolum, is an acute suppurative inflammation of the sebaceous glands or meibomian glands near the eyelash follicles. It is also a disease we often encounter in ophthalmology.

Its characteristics are: localized redness, swelling, heat and pain in the eyelid skin, and edema of the adjacent conjunctiva; when pus accumulates locally, yellow pus heads appear. External styes occur in the sebaceous glands at the root of the eyelashes and manifest themselves on the skin surface; internal styes occur in the meibomian glands and manifest themselves on the conjunctival surface. After rupture and drainage of pus, the pain is relieved and the redness and swelling subside; severe cases are accompanied by enlarged and tender preauricular and submandibular lymph nodes, general chills, fever, etc.

If it is confirmed to be a stye, timely anti-inflammatory, hot compress and other treatments are required. Depending on the recovery situation and condition, some patients may need surgery. The picture below shows a typical picture of a patient in the acute stage of stye.

The fourth type of "pimple": Chalazion Chalazion is a chronic inflammatory granuloma of the meibomian gland formed due to obstruction of the meibomian gland drainage duct and retention of secretions. Also known as chalazion.

There is only one letter difference between stye and chalazion in their literal meanings, and ordinary people often confuse them. In fact, the key to distinguishing the two lies in the symptoms. Patients with styes will experience obvious pain, while patients with chalazions often do not experience pain; stye is an inflammatory lesion and the mass is often less mobile, while chalazions are chronic inflammatory cysts with good mobility.

In terms of treatment, early-stage smaller chalazions can be promoted to dissipate and absorb through hot compresses or physical therapy and massage therapy; large chalazions can be removed surgically, and the cyst wall must be removed completely during the operation to prevent recurrence.

The fifth category of "bumps": eyelid tumors are classified into the fifth category mainly because of their clinical specificity and importance. The first four categories of "bumps" are either discovered and treated in time; or they are not discovered for a short period of time and will not cause obvious adverse consequences. As for eyelid tumors, many diseases require timely medical treatment, otherwise delayed treatment may cause a series of problems.