ptosis
Introduction
Introduction to ecdysis Blepharochalasis is also known as dermatolysis palpebrarum and atrophic eyelid ptosisatrophica. Rarely, it is an autosomal dominant inheritance caused by congenital defects in the orbital elastic fiber tissue. This disease occurs mostly in prepubertal age. Infants and young children are common. However, most cases occur between the ages of 10 and 18. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: simple goiter
Cause
Causes of ecdysis
(1) Causes of the disease
Is an autosomal dominant inheritance.
(two) pathogenesis
It is caused by defects in congenital development of the eyelid elastic fiber tissue.
Prevention
Suede sag prevention
Generally, eye correction surgery is performed. First, the diaphragm is strengthened, the orbicularis muscle is lifted, and the excess skin is finally removed. However, some doctors mistakenly correct the correction of the bags under the eyes and neglect the tightening of the diaphragm and the orbicularis muscle. If the amount of skin removed is appropriate, and the diaphragm and the orbicularis muscle are not treated, the eye bags will recur quickly.
Complication
Complications of ecdysis Complications simple goiter
Concurrent atrophic eyelids drooping.
Symptom
Symptoms of ecdysis, common symptoms, ptosis, thyroid telangiectasia
Symptoms of this disease can occur at birth, or in infants and young children, but most of them occur between the ages of 10 and 18 years. After the onset of the disease, the skin lesions gradually increase, and gradually become stable during puberty, and then continue for life, and some are only after middle age. The onset of disease.
The damage usually occurs in the upper eyelid, which is characterized by soft and wrinkled skin, reddish or pigmented, with telangiectasia, sagging eyelids covering the pupil, affecting vision, and both upper and lower eyelids and earlobe are rare.
Many patients may experience recurrent episodes of eyelid edema, usually a mild temporary episode, which resolves for 1 to 2 days, and may take several months or years.
Eyelid sagging can also be part of the Ascher syndrome (eyelid sagging-goiter-double lip syndrome).
Examine
Examination of ecdysis
Histopathology: The number of elastic fibers in the lesion is reduced, broken, and denatured. Lymphocyte-based inflammatory cell infiltration is observed around the blood vessels in the early stage of the lesion.
Diagnosis
Diagnosis and diagnosis of ecdysa
diagnosis
According to the drooping of the eyelids, wrinkles of the skin, telangiectasia, etc. can be clearly diagnosed.
Differential diagnosis
Need to be identified with the following diseases:
1. The eyelids are drooping and their skin is normal, slack and wrinkled.
2. Ascher syndrome in addition to eyelid sagging, but also combined with upper lip mucosa thickening and thyroid enlargement.
