Lipodermoid

Lipodermoid dermatology: features of diagnosis and treatment methods

Lipodermoid skin diseases are a special type of vascular tumor. They can be distinguished into a separate type of lymphoid tissue, combining two different diseases - fibrolipoma and lipodermosis, but they have similar clinical manifestations. In this article, we will look at the key features of these skin conditions, their causes and possible treatments.

1. Fibrolipoma

Fibrolipomas are microscopic tumors, predominantly of a peripheral location, which contain inflammatory infiltration around adipose tissue. The first elements of compaction may appear before the age of 30 years. They consist of connective tissue, in some cases there are foreign fragments - blood cells, calcifications, calcifications. Lumps come in various sizes, are mostly painless, do not change skin color, and can be present on various parts of the body, including the face, mucous membranes and neck. Typically, fibrolipoma appears as a nodule that increases in size over time. Patients with lipodermoids are characterized by asymmetry of lipomatous nodes: separate elements of formations appear on the left and right. After the appearance of compactions, repeated enlargements are possible. Touching the seals is painless.

Treatment with fibrolip includes surgical removal of the seal followed by excision of tissue from the inside. Sometimes therapeutic treatment of lipoderma is used - the introduction of biostimulants, photodynamic therapy, remote pulsed lithotripsy in combination with drug therapy and cryotherapy.

2. Lipodermatoid dysplasia

Lipid lymphocytic choleriitis or lipodermatid dysplasia is a dermatological problem that is associated with a violation of the embryonic development of fat cells in soft tissues and subcutaneous fat. The tumor has an oval or round shape. The center of the compaction is soft on palpation, and the peripheral zone is hard, without pain. The epidermis above the skin is bluish or red-brown, with a mottled surface. Most patients suffer from lipodermatosis after suffering from syphilis, which developed against the background of hormonal disorders and taking certain medications. Later, the disease can affect people without diagnosed syphilis. Diagnosis of lipodermatomas is difficult based on the absence of typical external signs. Atypical forms of the disease occur in HIV-infected, healthy individuals and patients with chronic diseases of internal organs, such as cirrhosis of the liver, iron deficiency anemia, and depression. The disease is often characterized by a long course of the disease. It does not affect the patient's ability to work as a whole. Treatment for lipodermotosis involves surgical removal of the lipoma followed by excision of tissue from the internal part. Surgical resection of lipodermal formation can be performed laparoscopically. Laser technology is an alternative, low-traumatic approach for lipodermatitis formations. Subcutaneous lipogeiuresis is performed under local anesthesia. Electromagnetic waves are also widely used to remove tumors. Chemotherapy with cyprom, chloruk



Lipodermoid disease is an unknown dystrophy or atrophic form of the muscular sheath of tendons, accompanied by chronic periodic thickening and subsequent destruction of part or all of the muscle. Conventionally, it is divided into two main types - primary lipodermoid dystrophy, which develops in isolation, and secondary - which is a consequence of any disease, as a result of which pathological changes occur. In the treatment of lipodermoid diseases, novocaine, antibiotics with novocaine, vitamin preparations, anti-inflammatory compresses and physiotherapy are used. In extremely rare cases, surgical intervention is also possible.