What is the xantelasm of the century and how to treat it?
At women in advanced age, at times, it is possible to observe small nodules of a whitish-yellow or slightly orange color, settling down on internal corners of the upper eyelids. What kind of education is this? What are the consequences for the body? What it is?
This new growth is a kind of xanthoma and is called xanthelasm. As a rule, such tumors do not bother their owners and are painless. At first glance, they can be taken as a blister or adipose, however, upon closer examination, it is found that they are still different from the above formations.
To date, it's safe to say that xantelasm arises for some reason is impossible. As a result of long-term clinical studies, specialists were able to establish a link between the development of the disease and the elevated cholesterol level. There was also a relationship between the appearance of this variety by xanthomas and the presence in patients who consulted doctors for such diseases as diabetes mellitus, various liver lesions, obesity, pancreatitis. There is a high probability that such damage to the body contributes to the formation and development of xanthelasm. It is established that the violation of lipid metabolism is directly related to the formation of both xanthomas and xantelasm. In essence, these two neoplasms are virtually indistinguishable.
Appear in middle-aged and elderly women. However, it can be observed in men. Occurs in the region of the inner corner of the upper (less often lower) eyelid of a small slightly protruding plaque. The size varies from the size of a pea to an average bean. Basically, xanthelasm is represented by single neoplasms prone to fusion, but, at times, there are numerous groups elongated in the form of a continuous line with uneven edges. The color varies from pale yellow to light orange. Plaques are painless, do not cause any inconvenience. A small size does not interfere with the normal functioning of the century.
Clinically and documentarily, there were no cases of their degeneration into malignant neoplasms. All surgical procedures for their removal are aimed specifically at correcting the cosmetic defect of the exterior. Inside plaques, specialists discover phospholipids and cholesterol. Also, their elevated levels are noted for this disease in the blood of patients.
It is worth noting that since the reason for the appearance of xantelasm is not revealed, then no specific treatment has been developed. Identification of the underlying disease, as well as actions to combat it, are a priority. The main task of the specialists is to correct the patient's weight, treatment and prevention of liver diseases, normalization of cholesterol level in the blood, as well as normalization of pancreatic function. It should be understood that xantelism does not spontaneously disappear after the work with the underlying disease has been started, but the normalization of liver function significantly reduces the possibility of repeated occurrence of plaques.
- Electrocoagulation. Cauterization with electric current is very effective.
- A liquid nitrogen.
- Operational removal.
Operative removal of xantelasm
One of the most common ways to fight this disease. Manipulation is performed under local anesthesia, consisting of a solution of novocaine and a solution of trimecaine. Removal is carried out using tweezers and scissors. After the plaques have been cut off, the edges of the wound are cauterized by an electric current (in the event that the edges of the wound are wide and can not be worked on otherwise), or if the plaque is small and the wound is narrow, and the amount of loose skin is sufficient, then a solution is used iron sesquichloride. As a result, a durable scab is formed and the wound heals within seven to ten days. Treatment of the wound surface is carried out using a solution of potassium permanganate 5% or a brilliant green 10%. In the case of excision of large plaques, as well as with an excessive amount of skin, it is possible to apply a suture with hair.
Nutrition and Drugs
In case of the onset and development of the disease, it is necessary to switch to a balanced diet . Exclude all animal fats or replace them with vegetable, as it is necessary to remove from the diet high-calorie dishes. The menu should remain only those dishes, the use of which is allowed in diseases of the liver and pancreas. With a specialist on the basis of a complete clinical examination of the body, it is necessary to harmonize the use of lipotropic-acting cholesterolemic drugs, such as cetamifene, parmidine, lipid, diasponin or lipoic acid. The regimen for these medicines should be prescribed by the doctor, based on the patient's condition.
If the xantelasm of the eyelids has already been treated previously, then, if there is a violation in the metabolism of fats, in order to avoid relapses, the following recommendations should be observed:
- Diet. Strictly adhere to the milky-vegetable diet. Maximum exclude from the diet fatty meat, high-calorie foods. Butter should not exceed more than 25g in the form of an average daily dose, and vegetable - no more than 75g.
- If possible, avoid injury to the skin. In a damaged place, clusters of nodules can be formed spontaneously, which are called the multiple xanthoma.
- Consultations of specialists. In the presence of xanthelasma of the eyelids, it is necessary to undergo examination from the oculist, the therapist - for heart disease and atherosclerosis at an early age.
Finding suspicious soft-to-feel seals in oneself or your loved ones should always consult with your doctor. Even in the event that you are sure that you have the usual xantelasm.