myxedema face
Introduction
Introduction The mucous edema face is a characteristic face of hypothyroidism in adulthood. Chinese medicine believes that it belongs to spleen qi deficiency and kidney yang deficiency syndrome; Western medicine believes that it is more common in hypothyroidism. This type of face can also be seen in testicular and pituitary dysfunction.
Cause
Cause
Each tissue of hypothyroidism patients contains a large amount of extracellular mucinous substances, which is a mucin composed of chondroitin sulfate, hyaluronic acid and protein. This protein has a strong hydrophilicity and therefore contains a large amount of water. Mucus tissue also contains a large number of macrophages, which contain a large amount of mucopolysaccharides. The skin is gradually infiltrated and mucous by mucin and mucopolysaccharide, causing keratinization and atrophy of the epidermis. There are keratinized embolization in the hair follicle and sweat gland. The collagen fibers are separated from the elastic fibers, and the brain has degeneration and edema. The above factors cause the patient to have a mucous edema appearance.
Examine
an examination
Related inspection
Thyroglobulin thyroid stimulating hormone imaging growth hormone triiodothyronine (T3) free thyroxine (FT4)
Mainly manifested as: apathy, dullness, edema on cheeks and eyelids, depression in depression, pale complexion, dry and rough facial skin, loss of luster and elasticity, thickening of nose, lips and tongue, dry and sparse hair, sometimes from outside to inside Fall off.
Diagnosis
Differential diagnosis
Differential diagnosis of mucous edema:
1. Acute disease appearance: manifested as flushing, shortness of breath, nose flapping, painful expression, irritability and so on. Common in lobar pneumonia, malaria and so on.
2. Chronic disease face: the face is stunned, the face is gray or pale, the eyes are dim, the god is exhausted and so on. Chinese medicine believes that it is a deficiency of righteousness and weakness; Western medicine believes that it is more common in chronic wasting diseases. Such as malignant tumors, chronic hepatitis, cirrhosis, tuberculosis and so on.
3. Anemia appearance: manifested as pale, pale lips, Shenpi fatigue, flustered and short. Chinese medicine believes that it is a deficiency of qi and blood deficiency; Western medicine believes that it is more common in anemia.
4. Hyperthyroidism: The appearance of the eyeball is convex, the eye is cracked open, the eyes are round, the eyes are frightened, the face is yellow and thin, the excitement is uneasy, the irritability is irritating. Chinese medicine believes that it is liver qi stagnation, long-term fire, liver yin deficiency, liver yang sputum; Western medicine is regarded as a typical face of hyperthyroidism.
5. Hypothyroidism: also known as mucous edema, showing pale or dull complexion, dull gaze, edema on the face, thick lips, thick eyes, dry skin, inelastic, wrinkles, but deep, hair It is sparse and dry, and the eyebrows are most obvious. Chinese medicine believes that it belongs to spleen qi deficiency and kidney yang deficiency syndrome; Western medicine believes that it is more common in hypothyroidism. This type of face can also be seen in testicular and pituitary dysfunction.
6. Acromegaly face: The skull is enlarged, the face is long, the jaw is large and the protrusion is protruding, the ankle is prominent, the eyebrow arch is raised, the ear and nose are enlarged, the lips and tongue are thick, and the teeth are thin and misplaced. This face is more common in acromegaly.
7. Mitral valve face: also known as rheumatic heart disease face, manifested as yellow complexion and edema, cheeks dark red, lips cyan, dark tongue, flustered and short. Traditional Chinese medicine believes that it is caused by heart and blood stasis, which is caused by qi deficiency and yang deficiency. Western medicine is considered to be more common in rheumatic heart disease and is one of the important features of mitral stenosis. It can also be seen in patients with pulmonary heart disease or certain congenital heart diseases. .
8. Typhoid face: manifested as slow response, indifferent expression, red tongue and little moss, shortness of breath, lazy words, and even conscious disturbances. Chinese medicine believes that it is a deficiency of both qi and yin, which belongs to the category of warm disease; Western medicine believes that it is more common in typhoid, meningitis, encephalitis and other diseases.
9. Tuberculosis appearance: manifested as pale, cheek red as rouge, weight loss. This face is more common in the active period of tuberculosis.
10. Full Moon Face: The face is red and fat, round like a full moon, and even the ears are not visible from the front, and the nose is not visible from the side. As the fat accumulation of the cheeks falls, the nose is squeezed down, the mouth cracks become smaller, and deep grooves appear between the mouth and the cheeks. The complexion is red and tender, the mane is increased, hemorrhoids are often found, and small beards are visible on the lips. Western medicine is considered to be the characteristic face of Cushing's syndrome or corticosteroids caused by long-term use of adrenocortical hormone.
11. Nephrotic edema face: manifested as pale edema, tight and dry skin, eyelid edema especially in the morning, and the forehead has more shiatsu. In addition to various kidney diseases, this face is also seen in heart failure, malnutrition, facial angioedema, severe asthma, whooping cough, etc.
12. Proliferative body appearance: manifested as mouth breathing, nasal shape dysplasia, wide nasal roots, small nose, short lips, upper lip upturn, nasolabial fold, underdeveloped jaw, unclear articulation, poor hearing, no God, the expression is sluggish. This face is seen in children with hypertrophy.
13. Dangerous face: manifested as a face with a dry face, pale or lead gray, indifferent expression, loss of vision, eyelid depression, cold limbs and so on. Chinese medicine believes that it belongs to the category of yin or dying; Western medicine believes that it is more common in severe hemorrhage, severe shock, dehydration and other critical illnesses.
14. Lion face: also known as the tumor type leprosy face, which is characterized by uneven knots and plaques on the face, and some or all of the eyebrows, eyelashes, hair and beards fall off, resembling the "lion face". This face is seen in patients with neoplastic leprosy. Bone lion's face is seen in bone dysplasia, periosteum in the skull area, deformity osteitis or trauma.
15. Myopathy surface: It can be seen that the eye can't be opened or closed, in a half-flat state, or can't wrinkle the amount, the lips are thick and thick, the lower lip is hanging down, and the mouth cannot be closed. This face is seen in muscular dystrophy or myasthenia gravis.
16. Congenital face: the appearance is too high, the eye is split outwards, the eyeball is prominent, or strabismus or tremor; the base of the nose is flat and the nostrils are facing upwards.
Mainly manifested as: apathy, dullness, edema on cheeks and eyelids, depression in depression, pale complexion, dry and rough facial skin, loss of luster and elasticity, thickening of nose, lips and tongue, dry and sparse hair, sometimes from outside to inside Fall off.
