Everything You Need To Know About Trichelemmal Cysts: Symptoms, Causes, Diagnosis And Treatment

Author Name : Dr. Anand V Kulkarni

Dermatology

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Trichelemmal cysts, also known as pilar cysts are benign formations that occur primarily in the scalp. They may range in size from a few millimeters to several centimeters and are often confused with other scalp lumps or bumps. Although this type of cyst is generally harmless and does not require medical treatment, it can still be uncomfortable and concerning for those who experience them. In this article, we will discuss the symptoms, causes, diagnosis and treatment of trichelemmal cysts—and everything else you need to know about them.

What are Trichelemmal Cysts?

A trichelemmal cyst, also called a pilar cyst, is a type of cyst that forms from the outer layer of skin (epidermis) around the base of a hair shaft. These cysts are usually round, firm and moveable. They range in size from 2 to 10 mm (about 1/4 to 1/2 inch). Trichelemmal cysts are most common on the scalp, but can also occur on other parts of the body where hair follicles are present, such as the face, neck, back and chest. They are harmless and do not usually cause any pain or discomfort. However, if they become inflamed or infected, they can be tender to touch. Trichelemmal cysts are typically diagnosed based on their appearance. No further testing is usually necessary. However, if there is concern about possible infection or cancerous growth, a biopsy may be performed. Treatment is not usually necessary unless the cyst becomes irritated or inflamed. In these cases, warm compressions or topical antibiotics may be recommended. Surgery is rarely needed and is only considered when all other treatment options have failed.

Symptoms of a Trichelemmal Cyst

A trichelemmal cyst is a type of non-cancerous cyst that can develop in the scalp. They are also known as pilar cysts.Trichelemmal cysts are usually round or oval and are filled with keratin, which is a protein found in the skin. They range in size from 2 to 10 centimeters. Trichelemmal cysts are not dangerous and do not cause any pain. However, they can become infected, in which case they may be painful and may require treatment. The most common symptom of a trichelemmal cyst is a small, round bump on the scalp. The bump is usually firm to touch and may be covered with hair. Other symptoms of a trichelemmal cyst include: Redness or inflammation around the bump, Drainage of pus or fluid from the bump, Pain or tenderness when the bump is touched.

Causes of a Trichelemmal Cyst

A trichelemmal cyst is a benign, slow-growing tumor that arises from the outer layer of the scalp. It is also known as a pilar cyst, or wen. Trichelemmal cysts are usually filled with keratin, an oily substance that lubricates and waterproofs hair and skin. Trichelemmal cysts are most commonly found on the scalp but can also occur on other areas of the body such as the face, neck, back or chest. They are more common in women than men and tend to occur in middle-aged adults. There are several possible causes of trichelemmal cysts:

• A blockage in the opening of a hair follicle or sebaceous gland: The most common cause of trichelemmal cysts is a blockage in the opening of a hair follicle or sebaceous gland. This can be due to trauma (such as from shaving or tight hairstyles), infection, or build-up of dead skin cells. The blockage prevents sebum (an oily substance that lubricates and waterproofs hair and skin) from being released, leading to its accumulation under the skin.

• Cystic acne: Cystic acne is a type of acne that occurs when there is a deep blockage in the pores. This blockage can be caused by excess sebum production, inflammation, or bacteria. Cystic

Diagnosing a Trichelemmal Cyst

A trichelemmal cyst is a non-cancerous growth that forms in the outer layer of the skin. They are also known as wens, sebaceous cysts or epidermoid cysts. They are usually small, round and firm to touch. They can be found anywhere on the body but are most common on the face, neck, back and scalp. Trichelemmal cysts are not contagious and do not pose any health risks. However, they can sometimes become infected which can lead to pain, swelling and redness.

Treatment for a Trichelemmal Cyst

A trichelemmal cyst is a non-cancerous growth that forms in the outermost layer of skin. These cysts are also known as pilar cysts or isthmus-catagen cysts. They are most commonly found on the scalp, but can occur anywhere on the body. Trichelemmal cysts are typically small, round and firm to the touch. They are usually filled with keratin, a protein that helps keep skin healthy. Keratin is also the main component of hair and nails. Most trichelemmal cysts are benign and do not require treatment.  Infected cysts can also rupture, causing the contents to leak out onto the skin. This can lead to an abscess, which is a collection of pus that forms under the skin.

Living with a Trichelemmal Cyst

A trichelemmal cyst is a slow-growing, noncancerous tumor that typically forms in the outer layer of skin on the scalp. These cysts are also known as pilar cysts or wens. They’re usually oval or round and measure less than 2 centimeters in diameter. A trichelemmal cyst may be filled with keratin, a substance that makes up hair and nails. Trichelemmal cysts are harmless and usually don’t cause pain unless they become infected. However, they can be unsightly and may cause anxiety or embarrassment. If you have a trichelemmal cyst, you may want to have it removed for cosmetic reasons. There’s no known cause of trichelemmal cysts, but they’re thought to develop when a hair follicle or sebaceous gland (a small gland that produces oil) becomes blocked. This blockage allows keratin to build up and form a sac under the skin. Trichelemmal cysts are most common in adults between the ages of 40 and 60. Women are more likely to develop them than men. Most trichelemmal cysts don’t require treatment and will go away on their own over time. 

Conclusion

Trichelemmal cysts are a fairly common but potentially serious condition. It is important to be aware of the signs and symptoms, as well as the treatments available. With timely diagnosis and proper treatment, trichelemmal cysts can often be managed successfully in most cases. 


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