What's the matter with the fleshy pimple on my eyelid

For no apparent reason, a pimple grew on my eyelid, which looked very strange and affected my image. I felt upset every time I saw it, but I didn't know what caused it. I went to the hospital and found that this pimple might be a sign of a disease, such as skin warts, xanthomas, etc., which usually appear on the eyelids in the form of a pimple, so you should pay special attention to it. So what should we do in the face of this situation?

The first type of "pimple": skin warts

Skin warts are a common skin disease caused by the 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.

The second type of "pimple": xanthomas

The reason why this type of disease is placed in the second category is that, first, there are more and more patients with xanthomas, and second, people in clinical practice often confuse it with skin warts. Some even name xanthomas as "palpebral xanthoma" in "Baidu Encyclopedia". The author believes that this definition is not standard and can even be said to be wrong.

Because there is an essential difference between "xanthomas" and "skin warts". Xanthomas are actually not tumors, nor are they caused by viral infections. Instead, they are the deposition of lipid-like substances in the skin tissue, which is more common in patients with high blood lipids. The lesions often occur near the inner canthus of the upper eyelid and are often bilateral. Skin warts are a skin disease caused by human papillomavirus, which is caused by viral infection and is highly contagious.

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": stye

Stye, also known as sty 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 glands caused by 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 type of "pimple": eyelid tumor

The reason why eyelid tumors are classified as the fifth category is mainly due to its clinical specificity and importance. The first four types of "bumps" will either be discovered and treated in time; or they will not be discovered for a short 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.

First: benign tumor

The benign eyelid tumors that the author encounters in clinical practice mainly include: capillary hemangioma, cavernous hemangioma, pigmented nevus, etc.

Second: Malignant tumor

The most common malignant tumors of the eyelid skin include basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, etc.

As for the treatment of eyelid tumors, each disease has a very systematic treatment plan, which cannot be explained one by one here. Once you are diagnosed with a certain type of tumor, you don’t need to panic. You can choose several hospitals and see several doctors. The most important thing is to get a clear diagnosis, actively treat, and not delay the disease.