xanthelasma - this neoplasm flat ovoid shaped yellow color, localized on the face, especially in the periorbital region.This pathology can be observed as an independent disease, in which case it is represented by a single plaque, or as a manifestation of a diffuse xanthomatosis skin.
Most xanthelasma on the face are specific to visually recognize education, so the differentiation of the diagnosis is not difficult.Medical actions when it detects xanthelasma should be integrated with the use of methods of conservative therapy (the use of drugs, the pharmacological effect of which is aimed at correcting violations lipidogram) and surgical correction (removal xanthelasma century with various operational benefits).
risk of developing xanthelasma make older women.Considering the pathogenetic mechanism of xanthelasma, its presence in a patient can be regarded as surrogate atherosclerotic disease and increased risk of ischemic damage to the myocardium and brain.
Despite the fact that science knows the basic pathogenetic mechanisms of xanthelasma, the main etiological factor that would be 100% of the cases led to the formation of the disease were not significantly found.There are many reasons for the development of predisposing xanthelasma, each based on the damaging effect on lipid metabolism.Significant fact is that in a situation where multiple xanthelasma ksantomatoznym combined with diffuse lesions of the skin, patients experienced marked changes in the lipid profile analysis of indicators that reflect a violation of cholesterol metabolism in the body of the patient.Single xanthelasma same age can develop products without impaired fat metabolism.
Given that there are a number of pathological conditions associated with impaired lipid metabolism, which include alimentary obesity, severe diabetes, cirrhotic liver and lipoid nephrosis, xanthelasma patients suffering from these pathologies, is not uncommon.
extremely rare congenital form xanthomatosis with concomitant xanthelasma development and contributes to the development of genetically determirovanny impaired lipid metabolism.In the case of existing hereditary xanthomatosis, clinical manifestations in the form xanthelasma on the face, there is still an infant in the neonatal period or in early breast period.
Symptoms and signs xanthelasma
Education xanthelasma never accompanied by any other changes in the skin, especially of inflammatory genesis.This pathology is characterized by a slowly progressive course, so in the early stages of the emergence xanthelasma does not bother the patient and does not aggravate his condition, which becomes the main reason for the late treatment of the patient to a specialist.
favorable fact is that xanthelasma under any circumstances can not serve as the background for the development of malignancy of the disease, thereby eliminating the possibility of life-threatening patient's cancer process.The main reason for the patients especially females seek the advice of a specialist, a cosmetic defect that develops in a marked increase in the size of xanthelasma face.
In a situation where xanthelasma patient develops against the background of diffuse xanthomatosis as display cholesterosis are placed plaques, usually in the projection of the skin of the lower eyelid while ksantomatoznym lesion of the skin on other parts of the body (neck, lateral thighs, para-articular region).When massive diffuse lesions of the body xanthomatosis, blyashkovidnye tumors can be visualized not only on the skin, and mucous membranes of the mouth mostly.In these situations, xanthoma and xanthelasma have the form of small nodules, plaques or large deformed nodes having a bumpy surface and well-defined irregular contours.
A careful visual examination of a patient suffering xanthelasma sometimes fails to detect plaques are many different shapes and sizes, the parameters of which can reach 50 mm.It should be noted that the formation of xanthelasma patient has persistent progressive course, and in medical practice has not yet met the cases of self-inverse of this disease.Education xanthelasma one on the eyelid may be in a pore of a long time, and may increase significantly in size and have a steady progression.
Detecting signs xanthelasma a young child should be the reason for the child's parents not only surgeons, but also genetics, as in this situation, xanthelasma acts as a clinical marker of severe hereditary disease "hypercholesterolemic xanthomatosis."Provided that the total absence of medical correction of this condition, the child later formed severe complications from the lesion of bone structures, cardiovascular tissues and the liver parenchyma.
Visual inspection of the periorbital area of the patient can not detect the tumor yellow color, rising above the level of the skin localized in the projection of the inner corner of one or both eyes.Typically, this has all of the neoplasm "purity", i.e. palpation it does not cause discomfort and even more pain in a patient, xanthelasma increasingly soft consistency.Location xanthelasma can be either symmetrical or unilateral.Defeat century xanthelasma means preferential localization of the upper eyelid with one or both sides, or isolated lesions of the skin of the lower eyelid.The combination of both types of localization does not occur.When multiple lesions, some tumors are merged into conglomerates, which in some cases can be quite impressive size.In the long xanthelasma on the rise and spread it throughout the century as blyashkovidnoy band.
Primary visiting patient xanthelasma century to the dermatological specialist profile, usually accompanied by detailed inspection using compression the slide that has the name vitropression.This manipulation is performed to complete exsanguination xanthelasma for more detailed study of color and texture of soft-tissue component.Nonspecific laboratory parameters xanthelasma is to detect changes in lipid metabolism, so the algorithm of diagnostic measures survey these patients is to analyze lipid profile.
In situations where well established link between education xanthelasma patient with lipid disorders and the accumulation of high concentrations of cholesterol in the blood, priority actions should be the elimination of assessing root causes of violations.In some situations, the compensation of the main underlying disease (diabetes, nutritional type of obesity, steatosis) allows for an extended period of time to stop the progression of the increase in size and number xanthelasma.For this purpose, the responsibility of the physician is to conduct a conversation with the patient on the subject of normalization of eating behavior and weight control.
for normalization of lipid profile in most cases excluded from the diet foods rich in cholesterol, which include: animal fats, fatty meat and fish, alcoholic beverages.In addition, the daily menu of the patient should be saturated with products that contribute to the splitting and removal of cholesterol from the body, which include all dairy products.
In a situation where the patient has expressed deviation indicators lipidogram, hypolipidemic diet should be supplemented with the appointment of an adequate scheme lipotropnyh holesterinemicheskih drugs (Lipamid 0,025 g three times a day, Tsetamifen 0.5 g 3 times a day orally).Supplementation of this pharmacological group provides long course until normalization of analyzing the concentration of cholesterol in the blood.
xanthelasma After surgery the patient should follow the recommendations on nutrition, also allows the use of traditional alternative medicine, whose action is intended to prevent a possible recurrence of the disease.For example, a good effect in the prevention of scar formation in the postoperative period, as well as preventing relapse has Dog rose collection.To make it, you just chop 100 grams of rose hips, 75 g and 100 g Helichrysum mint, then add 3 cups of herbal mixture boiling water and let stand for three hours.Preventive treatment is not less than one month of receiving infusion of 150 ml per day, regardless of the meal.
most effective method of correction xanthelasma their removal is a radical one possible operational benefits (electrocoagulation, the impact of liquid nitrogen, laser surgery, surgical excision).All types of surgery are a category of minimally invasive operations, and therefore, their performance does not require a long time and the introduction of a patient in general anesthesia.Removal
xanthelasma laser or any other method involves a preliminary local anesthetic procaine solution (2 ml of a 0.5% strength solution).
Operational Manual removal xanthelasma provides for several procedures.After adequate anesthesia is necessary to provide the maximum cut-off plaque with tweezers and a scalpel, followed by cauterize the edges of the surgical wound electrocoagulator.In a situation where a small xanthelasma parameters wound surface is not subject to stitching and processed albuminates Iron, allowing the wound heals with the formation of a scab lasting for no more than seven days.If the wound surface after excision xanthelasma is large, it should be treated with 10% solution of brilliant green hair and sutured.
Currently, the most effective and at the same time, low-impact method of surgical removal xanthelasma century considered laser photocoagulation.The indisputable advantage of this treatment is the lack of postoperative complications and relapses, painless, minimal healing time of the wound surface and the absence of contraindications to its use.The average duration of the laser coagulation is 15-30 minutes, therefore, appropriate to apply a brief anesthetics act as painkillers.The procedure involves layering effect of the laser beam on the tumor within healthy tissue, followed by treatment of the wound surface with an antiseptic solution.Under favorable conditions, and compliance with all the recommendations of the expert patient, performed the laser coagulation, postoperative wound healing process takes no more than two weeks.
In the late postoperative period after surgery for excision xanthelasma century on, the formation of dense scar, which causes cosmetic defect and impede the mobility of the century.To prevent development of scar deformations to be applied 0.5% hydrocortisone cream as a topical treatment two times a day for at least three weeks.
xanthelasma - a doctor will help ?If you have or suspect a development xanthelasma should immediately consult a doctor such as a plastic surgeon, a gastroenterologist and endocrinologist.