The difference between syringoma and milia

Written by Liu Gang
Dermatology
Updated on September 29, 2024
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Syringoma is a type of benign proliferation, mostly growing around the eyes, and can also appear on the vulva. This disease is related to poor local sweating, use of poor-quality cosmetics, and some are also linked with endocrine functions or emotional states and personal temperament. The most common treatment is to directly remove it using laser, usually one to two sessions can eradicate it completely. Milia typically appear as white, millet-sized granules on the face, related to the secretion from one's own epidermal sebaceous glands. The most common treatment involves directly removing them with a needle. These two conditions are quite different from each other.

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Written by He Da Wei
Dermatology
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Why do syringomas keep increasing in number as they grow?

Syringoma, also known as tubular sweat gland adenoma, sudoriferous cystadenoma, or sudoriferous abscess, is a type of adenoma characterized by differentiation of the distal ducts of small sweat glands, forming a benign skin tumor. The exact cause is not clear, but it may be related to genetics. If syringomas become more numerous and grow larger, it may be necessary to consider an association with endocrine dysfunction. Syringomas can occur at any age, but are most common in young women, often worsening during puberty and frequently having a family history. The lesions are particularly prone to appear around the eyelids, especially the lower eyelids. These lesions are dense, flat papules, ranging from several to dozens or even hundreds in number. Typically, the lesions increase in size during the sweaty summer months and shrink during the colder winter months, generally presenting without significant symptoms.

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Written by Liu Gang
Dermatology
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How to treat hidrocystomas around the eyes?

Syringomas around the eyes are mostly related to one's endocrine system or local sweat gland activity in that area, and in some cases, may be due to genetic inheritance. Once this condition appears, the most common treatment method is to visit a dermatology department at a reputable hospital and have them removed with a laser. Common oral and topical medications are generally ineffective and should be avoided. To prevent recurrence after recovery, it is advised to avoid using makeup, particularly greasy eye creams or cosmetics around the eyes. Regular exercise, which promotes sweating, frequent bathing, maintaining a cheerful mood, avoiding spicy or irritating foods, and not staying up late are also recommended.

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Written by Huang Ling Juan
Dermatology
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Is syringoma related to sweating?

Syringoma has little to do with sweating. Syringoma, also known as eccrine acrospiroma or eccrine hidrocystoma, is a type of small sweat gland tumor that differentiates towards sweat ducts. It is inherited in an autosomal dominant pattern. During sweating, due to obstructed sweat flow, the syringoma, or the tumor mass, may increase in size. If syringoma appears, it may not require treatment. If it is considered cosmetically undesirable, treatment options include using carbon dioxide laser or cryotherapy with liquid nitrogen. With the occurrence of syringoma, it is advisable to avoid consuming excessively greasy foods and spicy, irritating foods in the diet. While syringoma is not significantly related to sweating, it is somewhat associated with frequent staying up late and irregular life routines.

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Written by Liu Gang
Dermatology
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Will sweat gland tumors recur?

The recurrence rate of syringoma is relatively high, as this condition is mainly related to familial genetics or local sweat gland development, which are determined by one's constitution or genes. The most common treatment method is local laser treatment. In severe cases, it may also be addressed with surgical intervention. However, there is no definitive solution to prevent recurrence; treatment must be administered anew when syringomas reappear. It is important to maintain proper dietary and lifestyle habits, avoiding spicy and irritating foods, and refraining from staying up late. Particularly in areas prone to outbreaks, one should avoid applying cosmetics that can clog pores and obstruct sweat secretion. Regular exercise can help strengthen the immune system and potentially reduce the recurrence of this condition.

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Written by Liu Gang
Dermatology
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Can erythromycin ointment treat hidrocystomas around the eyes?

Syringoma is caused by localized growth and development of sweat glands, leading to a benign proliferation which is substantive rather than inflammatory. Therefore, erythromycin ointment is ineffective in treating syringoma. Currently, a common treatment for syringoma is to use laser ablation to remove the tumors. However, many patients may experience recurrence and require multiple treatments for complete removal. The occurrence of syringoma in some patients may be related to family genetics, which can lead to frequent recurrences that may be difficult to completely eliminate. Therefore, it is advisable to maintain a healthy diet and lifestyle, avoid spicy and irritant foods, and avoid applying greasy cosmetics around the eyes, as these can block pores or sweat glands.