Loss of skin plumpness

Introduction Subcutaneous fat is reduced due to loss of appetite and malnutrition, and skin aging causes thinning of the skin and degeneration of the elastic fibers, resulting in loss of skin fullness. Skin atrophy is more common in older people than men. It is good for face, torso and limbs. The skin is diffuse flushing, edema, telangiectasia, skin atrophy, pigmentation and hypopigmentation. As the skin shrinks, the skin appears dry and has scaly scales, and the skin is thinned like a cigarette paper. The disease is seen in patients with dermatomyositis, showing a heterochromic skin, called heterochromic dermatomyositis, more common in children. It may also be the early stage of mycosis fungoides, and further development is manifested in sputum granulation. Progressive idiopathic skin atrophy, also known as plaque atrophy: early damage is a round or irregular reddish patch of varying size, gradually shrinking later, showing skin color or blue-white, dark red, dimple or convex From the surface, the surface is wrinkled, the hand is not hard and the scleroderma is different from the first hardening and atrophy, and there is no itching. In the early stage, there is no feeling, and it usually affects the aesthetics of the appearance before getting medical treatment. A few can cause physical disability. Young and middle-aged people are more common, and women are particularly prominent.

Cause

Subcutaneous fat is reduced due to loss of appetite and malnutrition, and skin aging causes thinning of the skin and degeneration of the elastic fibers, resulting in loss of skin fullness.

an examination

Related inspection

blood test

Development, nutrition, body temperature, blood pressure are normal, no abnormalities in systemic examination.

Dermatology: 5 pieces of pigmented patches of different sizes on the left upper extremity and head and face, ranging from 1 cm × 2 cm to 11 cm × 15 cm, borders are not clear, dark red, the center color is light, the surface is smooth, the middle The skin lesions are slightly sunken, and the sparse fine capillary texture is visible, not hard. No abnormalities.

Laboratory tests: blood, urine routine.

Histopathology showed atrophy of the epidermis, loose dermal collagen fibers, and presence of skin appendages. Diagnosed as progressive idiopathic skin atrophy.

The disease is generally no special treatment for Western medicine, and more vitamins for comfort treatment or retinoic acid for external use. According to clinical manifestations, traditional Chinese medicine can be differentiated into qi and blood deficiency, liver qi stagnation, yin deficiency and blood heat, spleen and kidney yang deficiency, etc. Treatment can be.

Differential diagnosis

Excessive skin stretching: Ehler-Danlos syndrome, also known as skin hyperelastic syndrome, is a congenital connective tissue defect disease, clinically characterized by excessive skin elasticity, skin and blood vessel fragility and joint mobility.

Skin hypertrophy refers to the limitation of thickening and drying of the skin surface. This disease is similarly recorded in classical medical books.

Poor skin elasticity: it is a skin atrophy, skin accelerated aging and other skin problems. Touching it with your finger, it will be very fast, and it will be elastic. It will also see if the lines on the face are coming out. The elastic skin is very smooth and tight.

Skin sagging: a skin sagging disease caused by congenital defects in skin elastic fibers, and can invade the systemic connective tissue, involving the normal structure and function of cardiovascular, respiratory, urinary and other organs. Usually divided into two types: innate and acquired. Usually adulthood, some may have skin inflammation first, followed by elastic tissue release and relaxation, such as eczema, polymorphous erythema, urticaria, angioedema, skin relaxation symptoms, but no congenital developmental disorders. Skin symptoms were found shortly after birth. The first skin edema, after the appearance of skin loose, sagging wrinkled, neck, face, eyelid wrinkles most prominent, showing the appearance of early and old. The ptosis of the upper jaw can obstruct the line of sight, the sag of the lower jaw is formed by the valgus, and the skin of the abdominal wall and the neck is relaxed and overhanging. Other organs are damaged by elastic fibers, tissue relaxation, often sacral sputum, gastrointestinal diverticulum, mucosal prolapse and cardiovascular dilatation or aneurysm. In addition, there may be corneal annular hemangioma, lingual crack, uvula, tooth loosening, pharyngeal mucosa swelling, vocal cord relaxation, hoarseness, hair thinning and genital dysplasia. Common skin affected areas are mainly face, eyelids, ears and neck. It appears in the wrinkles of the wrist, knee, ankle, and abdomen.

Thick skin of the whole body: It is one of the clinical manifestations of giant human disease. The giant human disease pituitary gland secretes excessive growth hormone (GH), causing hypertrophy of tissues, bones and internal organs and diseases of endocrine and metabolic disorders. The prevalence of puberty and the closure of the ankle are giant diseases.

Increased skin fragility: often occurs in skin porphyria. If it can be protected from light after the onset, the swelling can be eliminated within 2 to 5 days, and the skin fragility is increased. After the stimulation, the line-like epidermis peeling and crusting and the needle-to-sesame-sized worm-like depression scar appear.

The disease is generally no special treatment for Western medicine, and more vitamins for comfort treatment or retinoic acid for external use. According to clinical manifestations, traditional Chinese medicine can be differentiated into qi and blood deficiency, liver qi stagnation, yin deficiency and blood heat, spleen and kidney yang deficiency, etc. Treatment can be.

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