Atheroma in children

Atheroma in a child may be due to increased activity of the sebaceous glands. Hyper secretion of glandulae sebacea is associated with a hereditary factor, and it is typical for adolescence, puberty, when there is a rapid growth of organs, systems and changes in the hormonal system of the child.

Parents should not be frightened if they notice an unusual swelling, a bulge on the child's body. If a dermatologist diagnoses this phenomenon as an atheroma, there is no reason for concern, since such cysts are considered retentional neoplasms of the sebaceous glands from the category of benign tumors. Atheroma in a child can be either very small or grow to large sizes. The most typical localization of the cyst-head (hairy part, ears), face, neck, much less often - inguinal region.

Atheroma can not change its size for a long time, the subcutaneous cyst increases in case of traumatization, mechanical rubbing with clothes, bruises, and strokes. In such cases, atheroma in a child can become inflamed and even fester. The abscess is prone to spontaneous dissection, but such a process can not be considered therapeutically literate, since the cyst has a capsule that is prone to secondary filling with a secretion and clogging of the escaping duct of the sebaceous gland. Also for inflamed atheroma, there is a risk of infection when the cyst can be transformed into phlegmon. Such inflammations are difficult to tolerate and require immediate treatment. Especially dangerous is an inflamed atheroma in the groin area, in the facial area (nasolabial triangle), these neoplasms should be diagnosed in a timely manner, constantly monitor the skin condition, and in case of rapid growth - operate.

Atheroma does not respond to conservative treatment, in children it is removed according to indications, a strict indication is an abscessing cyst. The initial stage of cyst formation, when the atheroma is small and not accompanied by pain, can be performed under the supervision of a dermatologist or pediatrician. It is considered that it is most expedient to operate atheroma at the age of 5-7 years, in spite of the fact that excision of the neoplasm is carried out under local anesthesia in outpatient conditions, for a small child it can be a strong stress.

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Atheroma in newborns

The skin of a baby is an organ that protects it from the primary effects of the environment. It is the skin that undergoes various thermal, chemical, tactile influences, and they react to all factors with various eruptions, redness.

The true cyst of the sebaceous gland is an atheroma, it is formed irrespective of the age criterion, but the process of blockage of the outflowing duct can be caused by an innate factor. Atheroma in the newborn in its majority develops as a cyst from the cells of the epidermis. So-called milia-mills can be seen from the first birthday, they are observed in every second newborn baby and are not considered pathological formation. These rashes are associated with the stagnation of the sebaceous secretion in the glands due to their active functioning and hypersecretion. In turn, hypersecretion is explained by the fact that the total number of sebaceous glands in an infant is on the average 6-8 times more than in an adult. These glands are very small, characterized by a single-lobed structure and a close arrangement to the outer layer of the skin. By the 11-12th month of life glandular secretion decreases, lobes begin to decrease and atrophy and by a year and a half their function is markedly reduced. Secondary surge of hypersecretion and activation of the sebaceous glands in a child is already in pubertal period.

Atheroma in the newborn looks like small chiselled rashes of white with a pearly hue. Localization of atheromatous rash - cheeks, forehead, nose, nasolabial folds, possibly in the head (occiput) or groin area. Atheroma is very small, grouped into multiple vesicles, around them the skin can be inflamed, up to suppuration. Milies usually do not heal, they go away on their own, such atheromas are often called estrogenic acne, because presumably they can arise as a hereditary hormonal factor passed from mother to child.

The main danger of atheromatous rash in infants is the risk of their infection, especially if small rashes form in places prone to sweating. The leading method of treatment is the observance of hygiene rules, periodic sparing antiseptic treatment of skin areas on which atheromas are visible. Atheroma in a child who do not disappear by the age of 1.5-2 should be examined more carefully for the detection of dermoid congenital malformations. More detailed recommendations should be obtained from the treating pediatrician.

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