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Puberty brings hormonal changes which affect the body in a number of ways and the skin is one of the main affected organs. While acne is the more common issue, there are also other lesser known skin lesions, which can bother teenagers. The less common trichoepithelioma is one such disease.
In this health condition, multiple hair follicle tumors are seen on the face after attainment of puberty. These are benign, but not very common. They form small hair shafts, but do not develop into full fledged hair follicles. While the exact cause of these lesions is not identified, they are related to a syndrome called Brooke-Spielger Syndrome. There is also a genetic component where the CYLD gene is affected, and the proteins required for self-protection of the skin are missing. There is also a theory which states this condition to be an autosomal dominant condition. In such a scenario, multiple lesions are seen, and it is also the most common variant of the disease.
The lesions are small, less than 1 cm, isolated, firm, round, and shiny. Their color can vary from brown, to blue, yellow, or pink. The face is first affected, starting from the cheeks, and then slowly moving to the eyelids, and the nose. Multiple lesions are easier to diagnose, while individual lesions can be confused with basal cell carcinoma. The lesions grow very slowly and when multiple lesions are present, they can cause aesthetic concerns. There could be ulceration and recurrence in these patients. The genetically correlated ones have a higher incidence of aggressive behavior both in terms of severity of the lesions and the rate of recurrence.
Treatment: Though they are benign, aesthetic concerns may mandate treatment. The treatment is usually multipronged and includes the following genetic counseling, drug therapy (mostly topical creams and lotions), and minor invasive procedures.
- The best solution is to let them run their natural course, as they usually subside with age, both in terms of numbers and the severity of the lesions.
- Dermabrasion or carbon dioxide laser is useful in improving facial appearance too.
- In more severe cases, surgical removal may be done, which is partial and does not cover the entire depth of the lesion.
- However, in some cases, if there is a concern for malignancy, the lesions are completely excised (excision biopsy) and then sent for biopsy to confirm their benign nature.
Trichoepithelioma is also known by the name hereditary multiple benign cystic epithelioma, which explains the nature of the disease quite well. Other than cosmetic concerns, more so because if affects females, these are harmless in nature. But a detailed discussion with your dermatologist is suggested to confirm the state of the condition.
I am 26 and my skin looks dull and oily skin. I want fresh n glowing skin naturally 24*7 so what should I do?
Botox is a wrinkle treatment, but is used for treating a range of medical conditions. It has been in use for well over 18 years and is considered to be safe when performed under the guidance of a medical practitioner. Apart from aesthetics, a range of other facial, migraine and dermatological problems can be addressed by Botox.
Botox limits facial expression: The primary objective of a Botox treatment is to enhance the look of a person and not the contrary. When administered by a skilled physician, you can still smile and animate like before. Botox in no way affects the sensory nerve. The muscle beneath the point of injection gets relaxed and remains active. The apprehension of limited facial activity is baseless.
Botox travel through your body: This again is a myth. Botox diffuses not more than 1cm into the skin. Due to its localized nature, it does not affect any other parts of the body other than the intended area.
Botox has toxic content: Botox, like any other drug, is safe when taken under supervision. Like other drugs, it too gets scanned by the drug regulatory authorities. It is neither dangerous nor contains any toxic substance.
Dermal fillers involve intense pain: Dermal fillers are not as painful as advocated by many people out there. It does have its fair share of discomfort but a medical practitioner always uses a topical anesthetic and other anxiety related medications during the treatment.
Downtime for Botox is fairly long: Botox is known as the afternoon injection for its convenience and easy procedure. Botox procedure has no downtime at all. Doctors often suggest against lying down for a good 2-3 hours after the injection. Dermal fillers might result in minor swelling but there are medicines to counter that too.
Botox is permanent in nature: Botox effects lasts for 4-6months. For people who take Botox shots regularly, it tends to last longer.
Dermal fillers and Botox are the same: While people these days use them interchangeably, they are not the same. For instance, Botox lessens the effect of wrinkles by relaxing the facial muscle whereas dermal fillers add volume to the tissue and restores the muscle.
Botox is applied only when Facial lines are visible: This is not necessarily true. If the family of an individual has a history of facial lines, it makes sense to start Botox for facial line prevention. This delays the actual facial line appearance and requires fewer Botox shots going forward.
Hi sir, I have made a tattoo one month back on my hand which is below little finger But on that particular area infection occurred. please suggest me what needs to be done. please help me for that
Hi, i am 19 yrs old , female, hyperpigmentation on lips (black wholly and completely, from many years, no habits like smoking, biting lips. Very much awkward, trying hard for best solution, please give me suggestions.
I have fungal infection since 1 year (tiena cruise) and it get spread on right thigh and now from 15 days my left thigh, thigh corner and inside shoulder some skin redness occurred. I feel the skin gets thin at those points. Earlier I used some steroids but after knowing I have started using Terbinaforce 250 mg, and miconazole tube. But also infection not ended completely and the new problem started of thinning and redness of skin.
Greetings Sir, I recently developed rashes in my body. Red spots all over my legs n things n in my arms. Now the rash is extending. Ive done my blood test n all the tests are normal. Tue doctor says its purpura rash. Ive taking zyclochin medicine for past 12 days. It did work but suddenly the rashes have come up again. Need your help.
I have liver problem not pain but have general weakness .can't eat oily because it makes me breakout on face and lots of hyper pigmentation on cheeks .I do the liver tests in which my fat level is 342 above the normal so how to maintain it to become normal and healthy liver.
Skin disease, heat feeling, skin pops and get reddish and itchiness all over the body, skin looks red and large dots formed.
Is melaglow Rich or adlene nano gel a type pf steroid cream or it lightly contains steroid in it? Is it ok to use? As my doctor prescribed me to use it? Is it safe?
I have very dark skin n I want to be fair is this possible or not if its possible then please suggest how can i.
Hi I have red scar on my face it's like marks inside my skin it's looks so ugly more visible if I wash my face I have sensitive skin I have just went to doc she gave me Az 500 every 3 days in a week and acnol clindamycin and one more tablet and face wash but nothing changed its still same and my toe nail color is half change like yellowish but no smell is it fungal infections please help me out.
Sir my skin is very oily every one hour in my skin oil appear what I will do to nit appear oil in my skin and how to fair my skin.
I'm developing a bumps on my scalp wen it busts der is pus discharge and it bleeds please suggest me some medicines.
Hello, I have been using dermadew soap from 1 months. Now I am having some pimples type effect on face. Its like my face is having spots as well as pimples now. It is becoming too rough. What should I do? please tell me
A breast examination is a way of detecting early changes that may find lumps of other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.
- Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
- Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
- Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage.
- Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
- Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same. If you wish to discuss about any specific problem, you can consult a Gynaecologist.