There is a small pimple inside the eyelid

Although this is a very simple question, it contains a lot of content. I often encounter patients asking what to do when they have pimples on their eyelids. Different patients say the same thing, but the diseases they suffer from are not the same. Today I will give you a detailed introduction to several types of "pimple" diseases that I know and often encounter.

1The 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.

2Its characteristics are: protruding from the skin surface, no tenderness, easy to spread and spread. If found, you need to go to the dermatology department in time.

3The 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.

4 Because there is an essential difference between "xanthomas" and "skin warts". Xanthomas are not actually 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.

5 The traditional method for the treatment of 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 effect is very good. Unlike surgery, there are no concerns about recurrence and scarring. The picture below is a typical picture of a xanthomas patient.

6The 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.

7 Its characteristics are: localized redness, swelling, heat and pain on the eyelid skin, and edema of the adjacent conjunctiva; when pus accumulates locally, yellow pus heads appear; external hordeolum occurs in the sebaceous glands at the root of the eyelashes and manifests on the skin surface; internal hordeolum occurs in the meibomian glands and manifests 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, chills and fever, etc.