The skin of the face, especially in the eye area, has an increased sensitivity, and is also subject to a reaction to external influences. Quite often there are red spots on the eyelids. There are a number of dermatological as well as other diseases that can lead to this phenomenon.
The causes of this pathology
The appearance of red spots on the eyelids indicates the presence of some disturbances in the body. Most often, pathological changes occur locally and are caused by external factors. Among them are the following:
- the use of cosmetics that cause allergies;
- exposure to dry or cold air;
- stay in direct sunlight;
- strong wind.
In these cases, the appearance of red spots on the eyelids indicates an irritation of the epithelial tissues. This is the safest reason for their occurrence. In other cases, the cause of the formation of red spots may be due to various pathologies. The most common prerequisites for stains are the following dermatological diseases:
- pityriasis versicolor;
- atopic dermatitis;
- psoriasis;
- demodicosis.
Angioma
In addition, the formation of red spots on the eyelid can be an angioma, and also occur after an insect bite. In this case, differential diagnosis is required. During the examination of the patient, the doctor conducts a study of the internal organs, as in some cases skin pigmentation occurs against the background of disorders in the kidneys, liver or metabolic processes. Stains on the skin of the eyelids may also indicate the influence of internal factors, for example:
- lack of minerals and vitamins in the body;
- decrease in the protective qualities of the body;
- imbalance of hormones.
When taking drugs
In addition, dermatological disorders can occur when taking certain drugs, such as antibiotics and hormonal contraceptives. There can be many reasons for the appearance of spots, only a specialist can pinpoint the problem and prescribe the correct treatment to eliminate it after a detailed examination of the patient.
Diseases and their manifestations
A red spot on the eyelid, resulting from irritation caused by an allergen or inflammatory process, requires differential diagnosis, which, first of all, includes the clinical picture of the disease. Visual inspection and questioning of the patient will give almost the full amount of information necessary to clarify the diagnosis. The characteristics of the main dermatological problems that can cause red spots on the skin of the eyelids are as follows.
Atopic dermatitis
It occurs due to violations in the body's immune system and is an allergic disease. Symptoms such as the appearance of red spots, their peeling and itching are considered signs of the onset of the disease. Quite often, rashes appear in the area of skin folds, however, the neck and face are also affected by atopic dermatitis. The spots are converted into papules, which then merge into plaques with a prominent pattern. The skin at the site of staining peels and itches, which leads to the occurrence of excoriation, in patients there is irritability, asthenia and sleep disturbance. This is the most common cause of red spots on a child’s eyelids.
Demodecosis
This dermatological disease is also accompanied by the appearance of red spots in the eyelids. Demodecosis can occur when the skin is affected by a tick of the dermal gland. The pathology is characterized by symptoms such as redness and swelling of the skin of the eyelids along the edge, the formation of scales at the ciliary base, eye fatigue and itching. Inspection reveals the presence of plaque covering the eyelid, as well as the adhesion of eyelashes, the appearance of crusts and slight hair loss. The disease is often accompanied by blepharitis, which affects the conjunctiva. And if a red spot flakes on the eyelid, what does this mean?
Pityriasis versicolor
It is also a disease that can lead to the appearance of red spots on the eyelids. Another name for lichen is keratomycosis, the origin of the fungal pathology. The horny epithelial layer is affected, while the spots do not appear due to the inflammatory process. As a rule, pigmentation first has a pink tint, gradually turning into brownish yellow, and then brown. The spots have a clear outline and can merge into foci. Flaky peeling is observed on the surface of the skin when small flakes peel off during scraping. As a rule, lichen does not cause physical discomfort to the patient, but in some cases the spots may itch and itch. Under the influence of sunlight, the spots do not sunbathe and look lighter. The course of the disease is long, accompanied by periods of remission and relapse. A red spot on the upper eyelid may indicate the development of psoriasis.
Psoriasis
Elements of this disease can be located on any part of the human skin, including the eyelids. A characteristic feature of the pathology is the formation of pink papules, the surface of which has a silver-white surface and peels off. Psoriasis is accompanied by itching, but only the presence of characteristic signs can differentiate the disease from other dermatological problems. Such symptoms are the presence of a terminal shiny film, a stearin spot, and also spot bleeding. The rash is accompanied by the release of a large amount of exudate, the surface of the wounds is wet, which leads to the formation of crusts. Quite often, psoriasis first affects the scalp. The disease proceeds over a long period of time.
If a red spot appears on the eyelid, treatment should be immediate.
Diagnosis and treatment of ailment
If a visual examination and a collected history are not enough for a diagnosis, an additional laboratory examination is carried out, which includes:
- general blood type examination;
- analysis for biochemical parameters;
- blood test for serology;
- tests for allergic reactions;
- analysis of scrapings and eyelashes, including seeding and microscopic examination.
In some cases, the therapist refers the patient to highly specialized specialists, for example, an immunologist and an allergist. The final diagnosis is made only on the basis of a full comprehensive examination.
If red spots on the lower eyelid peel off and itch, self-medication should not be started, it is important to consult a doctor in time, who will conduct an examination, and on the basis of the established diagnosis, will prescribe the appropriate treatment. Therapy involves an individual approach for each patient, depending on the changes that occur with the skin. Most often, dermatological problems are eliminated with the help of the following drugs:
- antihistamines - “Zirtek”, “Tavegil”, “Suprastin”;
- antibiotics - Tinidazole, Metronidazole;
- antifungal drugs - "Terbinafine", "Ketoconazole";
- glucocorticoids - “Fluocinolone acetonide”, “Mometasone”;
- keratolytics - salicylic acid;
- retinoids - "Neotigazone";
- vitamin complexes.
Drugs can be prescribed as topical preparations or for oral administration. Psoriasis is treated using PUVA therapy, which involves irradiating the foci of the disease with ultraviolet light using photosensitizers. In some cases, doctors suggest using traditional medicine methods, but only as adjunctive therapy.
Red spots on the eyelid in a newborn can appear for various reasons. This phenomenon is quite common and often does not cause panic. In most cases, spots called nevi pass independently without medical intervention. The so-called fiery nevi, which have a bright color, will brighten over time, but will not completely disappear.
Reviews and recommendations of doctors
Experts do not recommend trying to cope with red spots on the skin of the eyelids on their own. Representatives of medical practice on traditional medicine methods are particularly categorically expressed. It is very important to correctly determine the cause of the spots, to establish their pathogenesis. If we are talking about dermatological problems, then, most likely, the treatment will consist in the use of funds for local application.
However, in some cases, the appearance of spots on the skin of the eyelids indicates serious disorders within the body, therefore, oral administration may be required.
People who have encountered the problem of red spots on the skin of the eyelids respond differently to the treatment. Some managed to quickly and effectively cope with the disease, in other cases, the treatment was delayed for a long time. There are also those who used folk recipes and were pleased with the result. This is a dangerous way to deal with an unknown problem, as it is carried out in the absence of a full examination.