Is the skin suddenly "swollen"? Is it an acne breakout? Medical education 2 methods for complete eradication
Is a sudden swelling on the skin a “pinoma” attack? Will it go away on its own if you leave it alone?
If you suddenly develop suspicious pimples or larger unknown lumps on your body, may it not be acne or pimples, but a more troublesome “powder tumor”? Dr. Liu Yanghao, a full-time attending physician at the Dermatology Department of Shuang Ho Hospital of the Ministry of Health and Welfare, pointed out in an interview that the official name of acne is “epidermal cyst”, which is the most common type of skin cyst.
Dr. Liu Yanghao explained that there are roughly two reasons for the formation of acne. One is that the hair follicles are blocked, resulting in the accumulation of keratin, causing the dermis or subcutaneous fat layer to form “bags”; the other is caused by external impact, puncture injury or Any contusion will cause epidermal cells to move deeper and gradually proliferate to form powdery tumors. In the past, the growth of acne was not closely related to acne; however, if acne persists for a long time, it can indeed become a risk factor for the formation of epidermal cysts.
Dr. Liu Yanghao further explained that most epidermal cysts will have three outcomes: first, they will remain the same after proliferation on the surface of the skin; second, they will gradually grow and become larger, because any benign tumor has the possibility of continuous proliferation; third, Bacteria infect the internal tissue along the opening, causing inflammation, infection, and even rupture. If the wound is not properly cared for and the infection is not controlled in time, there is even a possibility of cellulitis.
Are there “seasons” for acne outbreaks? In addition to the face, even the “perineum” may grow?
Is there a seasonal difference in the peak period of acne? Dr. Liu Yanghao explained that pink tumors can grow regardless of the season, but clinically it has been found that there are indeed more patients in summer. The reason may be that Taiwan’s summer is hot and humid, and bacteria or mold can easily invade through the openings of acne, causing inflammation of the wound, worsening the stinging sensation, or discomfort; or the stickiness or discomfort caused by sweating can irritate the wound of acne. “When the area of the acne is large enough and the pain is more obvious than before, you should pay attention to the warning sign of wound inflammation!”
As for the common areas of acne, the main ones are the face, neck, chest and back. In addition, the extremities such as arms and thighs, and even the perineum and other areas where hair follicles grow, may be the locations where acne occurs. Dr. Liu Yanghao said that there are even patients with special circumstances, such as injuries to the soles of their hands and feet, and wounds left by surgery that cause cysts to grow. “However, there are no hair follicles distributed on the palms or soles of the feet, so the condition is not as common as in other parts of the body.”
Is it necessary to go under the knife if my acne persists? Medical reminder: Never squeeze secretions by yourself!
If you are worried about acne affecting the appearance of your skin, should you consider removing it surgically? Dr. Liu Yanghao emphasized that epidermal cysts are benign skin tumors. As long as they do not affect daily life or do not care about their appearance, they can indeed “coexist peacefully” with them. However, if the cyst continues to grow and causes symptoms such as redness, swelling, and pain, be careful of the risk of infection and inflammation. In this case, you should seek treatment from a dermatologist as soon as possible.
“When cysts continue to proliferate, you want to treat them through surgery, which will leave longer scars.” Dr. Liu Yanghao suggested that for people who are concerned about scars, the best way to deal with acne is to treat it thoroughly before it becomes larger. The bag is removed under local anesthesia and the wound is sutured. If you are concerned about the scars left after surgery, you can also treat it through minimally invasive surgery, and the postoperative wounds will not be as long as traditional surgery.
If I have acne on my body, can I squeeze out the secretions myself? Dr. Liu Yanghao pointed out that the structure of acne is like a “gourd”, with a small opening but a large bag. Even if the secretions are squeezed out, it is difficult to squeeze them out completely. In addition, during the process of squeezing hard, it is easy to cause the bag to rupture and the contents The substance penetrates into the skin tissue and causes infection or inflammation. “Often people are fine if they are not squeezed, but if they are squeezed, it will be more serious!”
Dr. Liu Yanghao also pointed out that even if the contents are squeezed out and the pockets in the skin tissue still exist, there is still a high risk of recurrence. Therefore, it is recommended that the public should not try to squeeze out the papilloma; surgical removal of the cyst is the most fundamental treatment strategy.
Can acne “masquerade” as other skin diseases? Men who smoke and are obese are high-risk groups
Pinky tumors can “disguise” as other skin diseases, making it difficult for even dermatologists to distinguish them? Dr. Liu Yanghao explained that there was a male patient who had redness, swelling and severe tingling on one side of his neck. He was initially diagnosed as “herpes zoster” by other doctors and prescribed antiviral drugs. Not only was the effect unsatisfactory, he even developed suspected honeycombs. manifestations of sexual tissue inflammation.
After the patient went to Dr. Liu Yanghao’s outpatient clinic, it was unexpectedly discovered that the patient’s symptoms were inflamed epidermal cysts. Even though oral antibiotics were prescribed, the patient had to undergo two debridement surgeries before his condition improved. Dr. Liu Yanghao emphasized that the manifestations of epidermal cysts are very diverse and can even “imitate” the characteristics of other diseases. Therefore, it is recommended that patients who have concerns about the manifestations of skin diseases should seek consultation with a dermatologist as soon as possible to avoid worsening.
Finally, Dr. Liu Yanghao reminded that although acne is more likely to occur in young adults aged 20-50 years old, people at any age may face this problem. Therefore, people should avoid any factors that inflame the skin or body, such as smoking, chronic diseases or excessive Obesity etc. Young men generally tend to neglect their skin and overall health. It is recommended that smokers quit smoking and avoid pro-inflammatory diets to avoid the growth of acne and affect their daily life.
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