Suppurated atheroma

The suppurating cyst of the sebaceous gland is the middle stage of inflammation of the atheroma, when pus only began to accumulate in the capsule and mix with the "native" contents of the cyst-dentritis (epithelial cells, lipid and protein elements).

Festering atheroma - this is an occasion to consult a doctor, not allowing the development of a really serious condition - an abscess of the sebaceous gland.

Inflammation, passing into a purulent process, is due to various causes, among which may be the following:

• Secondary infection is already inflamed cyst.
• Mechanical trauma of inflamed atheroma (bruise).
• Attempts to stop inflammation, self-medication.

Symptoms of festering atheroma:

• Increase in temperature, both local - in the place of the cyst, and the general body temperature.
• Enlargement of lymph nodes in the area of formed atheroma.
• Pain sensations (pulsation).
• Swelling of the skin.
• Symptoms of general intoxication of the body with large atheroma or with multiple atheromas.

Suppurated atheroma can open spontaneously, as a rule, completely purulent contents do not expire, it partially remains in the capsule and provokes recurrence of the process. Re-inflammation is characterized by rapid development, swelling develops in just a few minutes, such conditions require urgent medical care, especially if suppuration occurs in such zones:

• Atheroma of the skull base.
• Atheroma of the head - hair.
• Cyst of the sebaceous gland of the face, especially in the nasolabial triangle.
• Atheroma of the axilla.
• Cyst of the inguinal zone, genital organs.
• Atheroma of the peritoneum (abdominal region).
• Atheroma of the ear.

[1], [2], [3], [4], [5]

Abscessed atheroma

Abscess is an inflammatory process in the acute stage, accompanied by the production of purulent exudate and the corresponding specific symptoms - pain, fever (general or local), swelling at the site of the abscess, flushing of the skin, possibly - intoxication of the whole organism up to sepsis.

Abscessed atheroma is an inflammation of the retention cyst of the sebaceous gland, which develops as a complication provoked by a secondary infection. Abscess in the cyst zone is considered to be a very neglected stage of the process, which in 85% is explained by such factors:

1. Self-medication, which is unacceptable in all types of tumors and cysts.
2. Permanent mechanical irritation of the cyst zone.
3. Infection of the outflow duct as a result of contamination (non-compliance with hygiene rules).
4. Infection of the opening of the atheroma due to injury (bruise, cut).
5. Self-opening of the abscess and absence of subsequent antiseptic treatment.
6. An attempt to squeeze out a cyst from a nuisance itself.
7. Primary diseases of internal organs and systems as a factor provoking a local inflammatory process.

It should be noted that abscessing atheroma can to some extent be considered a protective capsule, which closes the main source of infection and prevents the spread of pathogens into deeper layers of tissues.

As a rule, the causative agents of the abscess in the sebaceous gland are streptococci and staphylococci, and they are able to produce so much pus that the capsule of the cyst can burst right under the skin. Such cases are considered extremely dangerous, since there is a risk of developing extensive phlegmon and sepsis. More productive openings of the abscess outward, while pus may not be fully allocated, and atheroma will be filled with pathological contents again until the moment of its removal by operative route.

For these and many other reasons, abscessed atheromas should be treated in medical institutions, not at home. Treatment of an abscess is as follows:

• Dissection of the upper zone of the atheroma to release the exit of pus.
• Gentle squeezing, removal of purulent contents.
• Antiseptic treatment of the wound cavity.
• Drainage of the cyst.
• Prescription of antibiotics, anti-inflammatory drugs according to indications.
• After the subsidence of inflammatory symptoms and complete expiration of pus, atheroma should be completely excised.

Untimely diagnosis and lack of proper medical care can lead to health-threatening conditions - phlegmon soft tissues, intracranial abscess, extensive subcutaneous phlegmon of the face, sepsis, thrombosis of the venous system.

Festering atheroma is treated this way:

1. Carry out anti-inflammatory therapy.
2. It is possible to open the cyst by the indication, followed by drainage.
3. Enucleation of the sebaceous gland cyst.
4. Physiotherapeutic procedures according to the indications.

[6],