Fordyds granules - what is it, what are the signs of this disease, the possible causes of the appearance and the existing methods of treatment? It is these questions that we dedicate the article.
Fordyd's granules, or so-called seborrheiccysts are sebaceous glands that appear as bright pimples on the skin of the genitals (penis, lips, etc.), as well as in the groin, in the lips, on the nipples, in the mucous membrane of the mouth, etc.
The name of such formations came fromthe famous scientist Fordyce, who described these cysts in 1896. It should be particularly noted that Fordyce granules never cause any harm to health. In addition, they are not infectious, are not transmitted during physical contact, and are considered to be completely normal formations. But at the same time, there are still cases when patients with such manifestations turn to doctors for help. However, this happens only when Fordyce granules are a visible cosmetic defect.
As for seborrhea, in patients with suchThe diagnosis shows a significant change in the composition of the subcutaneous fat. In the future, such a deviation leads to the fact that the ducts of the sebaceous gland are blocked, as a result of which cysts are formed, in appearance very similar to Fordyce granules. The treatment of this disease comes down to the fact that the patient is prescribed various ointments and creams that contain sulfur, salicylic acid, and sometimes even hormones. In addition, for oily seborrhea, such medicines as Chloralhydrate and Resorcin, as well as other medicines used in the form of alcoholic solutions can be recommended by a doctor.
It should be noted that Fordyce pellets on the penis,testes and other places in most cases appear in puberty. Such a pattern has pushed scientists to the fact that the reason for the appearance of seborrheic cysts is that the sebaceous glands in some people are located closer to the upper layer of the epidermis than is normal. Thus, the child from birth has a special structure and location of the ducts. But during puberty (at about thirteen or sixteen years) under the action of hormones (most often we are talking about male sex hormones) there is some increase in the activity of the glands, resulting in significantly increased fat formation. This process leads to the fact that the so-called Fordyce granules on the testicles or other parts of the body become visible.
By the way, such people have significantincrease in the number of ducts of the glands (sebaceous). In this regard, such cysts are much more often formed in them, because in this case the secret of the glands is not excreted, but accumulates inside the cavity, which ultimately leads to a cosmetic defect.
Appearance of granules
To distinguish Fordyce pellets from seborrhea,be sure to know exactly how they look. Such cysts are known to resemble small (about one to two millimeters in diameter), slightly convex yellowish-white specks, which are most often arranged in groups near the rim of the lips, in the area of the glans penis, on the testicles, foreskin, on the mucous membranes mouth (sometimes even the eyes and eyelids), as well as on the skin of the labia majora.
It is worth noting that such cystspainless and numerous. Get rid of them alone is almost impossible. When pressing on the granules, only a small amount of a thick yellowish-white mass is released from the cavity. After that, on-site minor bleeding occurs with the formation of a small hematoma around the granules. After some time, a similar formation reappears in place of the extruded cyst.
Varieties of granules
Currently, Fordyce granules are divided into two types:
- pearl nodules on the penis;
- Fox-Fordyce disease.
Consider the causes and features of such cysts in more detail.
Pearly papules on the penis
Fordyde granules on foreskin representis a variant of the norm. Statistics show that such manifestations occur in almost thirty-five percent of the representatives of the stronger sex of a young age. These papules do not cause any harm to health, do not cause complications, and are never sexually transmitted. In medical practice, the presented problem has been little studied, and therefore effective therapy for such manifestations simply does not exist today.
By the way, the reason for the appearance of this speciesexperts also could not identify. Although some scientists believe that these papules are formed as a result of excessive proliferation of the epithelium of the sebaceous glands in the penis. It is impossible to ignore the fact that some people practicing circumcision, such education is extremely rare. This fact is due to the fact that an increased amount of smegma and secretions, which, due to their chemical and physical properties, irritate the epithelium of the penis and cause the proliferation of papules, are more quickly washed away during hygiene procedures.
Fordyce granules on the lips (genital) arean analogue of pearl papules on the head of the penis, but only in women. The clinic of such a deviation is absolutely identical to the clinic of formations on the testes and foreskin. This lesion most often occurs in the apocrine sweat glands and is to some extent associated with the urogenital apparatus. The cause of Fox-Fordyce disease in women lies in the endocrine origin. Such rashes most often occur on the pubis, in the perineum, axillary pits, around the nipples and on the labia majora. As a rule, Fordyce granules in the fair sex occur along with mild skin itching, which often increases during menstruation. The course of this disease is long, but quite often everything goes spontaneously by the age of forty.
Differentiation of Fordyce granules
The presented rashes, as well as their varieties (Fox-Fordyce disease and papules on the penis) should be distinguished from such ailments:
- molluscum contagiosum;
- flat red lichen;
- focal chronic eczema.
No additional diagnostic methods for making a medical diagnosis, except for a visual examination by a specialist, as well as exclusion of other diseases, are required.
Treatment of granules
As mentioned above, the official therapy of suchdeviations at the moment does not exist. But still some experts are trying to find solutions to this problem. Although this treatment is controversial and unconfirmed.
As a rule, to eliminate this cosmeticdefect, some doctors recommend using cream Retin-A and jojoba oil. According to experts, such tools, with their long-term use, remove the fresh Fordyce granules, and also prevent the possible appearance of new ones. As for the old papules, they are quite successfully treated by cauterization with a laser.
Surgical removal of such rashesalmost never used, because this method is the most radical. Independent removal of granules using conventional extrusion is absolutely unacceptable. This is due to the fact that such self-treatment can lead to a strong inflammatory process with further scarring of the skin.
It is also worth noting that the therapy of granules, whichare formed around the rims of the lips, quite often reduced to permanent tattoo, because in some cases such localization is an aesthetic problem. At the same time, by the age of thirty, most of these elements lose their convexity and brightness, and they also become less noticeable. This fact is associated with a slight decrease in the formation of sex hormones and the activity of the sebaceous glands.