Why can cutaneous xanthoma change?

summary

Most people don't know about skin xanthoma, and few people encounter it. However, we still need to understand that skin xanthoma is a kind of non neoplastic reactive hyperplasia disease, which has a wide range of onset age, and usually occurs in the skin and deep viscera. Now let's introduce it to you.

Why can cutaneous xanthoma change?

First: xanthoma can occur in the whole digestive tract, but it is more common in gastric xanthoma. This disease can be seen at any age and increases with age. This disease is a disorder of lipid metabolism, which is more common in middle-aged people, especially in middle-aged women, especially in patients with liver or biliary obstruction. It is characterized by orange needle or bean papules on the inner canthus of the upper eyelid, with obvious edge, slightly higher than the skin, soft touch, sometimes affecting the lower eyelid, forming a yellow circle after fusion. A few patients also accompanied with palmar, finger suture, gluteal groove, elbow and popliteal fossa xanthoma.

Second, etiology. The cause of the disease is not very clear. The blood lipids (cholesterol, cholesterol esters, triglycerides, phospholipids and free fatty acids) were normal or increased. Some people have familial or secondary to atherosclerosis, diabetes, hepatobiliary diseases.

Third: surgical treatment: for patients with eyelid xanthoma with normal blood lipid, contact cryotherapy and surgical resection can be used. Contact freezing method is to use a cotton swab dipped in liquid nitrogen to contact with the lesion, and then return to the original yellow after local whitening, which is a freeze-thaw cycle. According to the thickness of xanthoma, 6-12 freeze-thaw cycles can be applied. Do not touch the local water after freezing, the xanthoma can fall off about a week, for the residual part or recurrent patients can be frozen again. Surgical resection should be thorough, and attention should also be paid to suture after resection, so as not to cause eye deformation and hinder the appearance. Surgery is not the first choice for this disease, the first choice is diet therapy. Before operation, it should be explained to the patient that the disease has the possibility of recurrence.

matters needing attention

For this disease, surgery is generally used, but it is not the first choice. Generally, diet therapy can also be used. The specific treatment method should be selected according to the actual situation.