Eruptive Vellus Hair Cyst - Symptoms, Reasons And Treatment

Eruptive vellus hair cysts are small bumps that can appear on the skin due to blockages in hair follicles. These cysts are usually harmless and often present as tiny, flesh-colored or slightly yellowish papules on the face, chest, or limbs. 

The exact cause of eruptive vellus hair cysts is not fully understood, but experts believe they may develop when vellus hairs (fine, light-colored hairs) become trapped within the hair follicle, leading to the formation of a cyst. While eruptive vellus hair cysts are typically benign and do not pose a serious health risk, they can sometimes be cosmetically concerning or cause discomfort. If you notice any unusual bumps on your skin.

Symptoms of Eruptive Vellus Hair Cyst

These cysts may be flesh-colored or slightly yellowish and are usually painless.  In some cases, they can become inflamed or infected, leading to redness, tenderness, and possible drainage of pus.  Patients may notice multiple cysts developing over time. 

It's essential to consult a dermatologist for an accurate diagnosis and appropriate management of eruptive vellus hair cysts to prevent complications and address any concerns.

  • Eruptive vellus hair cysts may present as small, flesh-colored or slightly yellow papules on the skin.
  • These cysts are typically found on the chest, abdomen, and extremities of the body.
  • Individuals with eruptive vellus hair cysts may experience occasional itching or tenderness in the affected areas.
  • In some cases, these cysts can become inflamed or infected, leading to pain and redness.
  • Eruptive vellus hair cysts may cause cosmetic concerns for individuals due to their appearance on the skin.

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Causes of Eruptive Vellus Hair Cyst

The exact cause of these cysts is not fully understood, but they are believed to arise from abnormalities in the hair follicles.  Factors such as genetic predisposition, hormonal imbalances, and inflammation in the hair follicles may contribute to the development of eruptive vellus hair cysts.  While these cysts are generally harmless and do not require treatment, individuals with concerns about their skin should consult a dermatologist for evaluation and management.

  • Genetics play a significant role in the development of eruptive vellus hair cysts, with inherited factors contributing to their formation.
  • Hormonal imbalances, such as those seen in conditions like polycystic ovarian syndrome, can lead to the appearance of eruptive vellus hair cysts.
  • Excessive oil production in the skin, often associated with conditions like acne, can create a favorable environment for eruptive vellus hair cyst development.
  • Skin trauma or injury, such as from repeated friction or pressure on the skin, may trigger the formation of eruptive vellus hair cysts.
  • Certain medications or topical products that clog the hair follicles or disrupt normal skin cell turnover can potentially cause eruptive vellus hair cyst.

Types of Eruptive Vellus Hair Cyst

They can be classified into two main types based on their appearance and characteristics: Type 1 cysts present as small, dome-shaped papules with a central pore, while Type 2 cysts are larger and often have a darker color due to the presence of trapped sebum.  

Both types of cysts can be asymptomatic but may become inflamed or infected, leading to pain or discomfort.  Treatment options include drainage, excision, or laser therapy, depending on the severity and location of the cysts.

  • Milia-like Eruptive Vellus Hair Cysts: These cysts present as small, white or yellowish papules resembling milia.
  • Comedonal Eruptive Vellus Hair Cysts: Characterized by the presence of blackheads or comedones overlying the cysts.
  • Papular Eruptive Vellus Hair Cysts: These cysts appear as raised, flesh-colored bumps on the skin.
  • Nodular Eruptive Vellus Hair Cysts: Larger, deeper cysts that can be tender to touch and may cause discomfort.
  • Inflammatory Eruptive Vellus Hair Cysts: Cysts that exhibit redness.

Risk Factors

While the exact cause is unknown, several risk factors may contribute to their formation.  These include a family history of eruptive vellus hair cysts, a history of acne or other skin conditions, hormonal imbalances, and genetic predisposition.  

Individuals with a history of skin trauma or inflammation may also be at higher risk.  Proper skincare and regular dermatological assessments can help manage these risk factors and prevent complications associated with eruptive vellus hair cysts.

  • Genetic predisposition: Individuals with a family history of eruptive vellus hair cysts may have a higher risk of developing the condition.
  • Hormonal changes: Fluctuations in hormone levels, such as during puberty or pregnancy, can contribute to the development of eruptive vellus hair cysts.
  • Skin trauma: Previous injuries or damage to the skin can increase the likelihood of developing eruptive vellus hair cysts in affected areas.
  • Excessive sweating: People who sweat excessively may be more prone to developing eruptive vellus hair cysts due to the increased moisture on the skin.
  • Oily skin: Excess oil production on the skin can clog hair follicles and lead to the formation of eruptive vellus hair cysts.

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Diagnosis of Eruptive Vellus Hair Cyst

Dermoscopy may be used to closely examine the cysts and differentiate them from other skin conditions.  In some cases, a skin biopsy may be necessary to confirm the diagnosis by examining the cyst under a microscope.  

Additionally, medical history and symptoms reported by the individual can provide valuable insights for accurate diagnosis.  Consulting a dermatologist is essential for a comprehensive evaluation and appropriate management of eruptive vellus hair cysts.

  • Diagnosis of eruptive vellus hair cyst typically involves a physical examination of the affected skin areas.
  • Skin biopsy may be performed to confirm the presence of vellus hair cysts.
  • Dermoscopy can aid in visualizing the characteristic features of eruptive vellus hair cysts.
  • Medical history review and symptom assessment are essential for accurate diagnosis.
  • Differential diagnosis may be necessary to rule out other skin conditions with similar presentations.

Treatment for Eruptive Vellus Hair Cyst

Eruptive vellus hair cysts typically do not require treatment unless they become symptomatic or bothersome. In such cases, treatment options may include drainage of the cyst contents, extraction of the cyst wall, or corticosteroid injections to reduce inflammation. Topical retinoids or oral antibiotics may be prescribed to help prevent recurrence. 

In some instances, surgical excision of the cysts may be necessary. It is essential to consult a dermatologist for proper evaluation and personalized treatment recommendations based on the individual's specific condition and symptoms.

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Frequently Asked Questions

Are there specific signs that indicate Eruptive vellus hair cyst?

Yes, small flesh-colored or yellow papules on the face, neck, and upper trunk are common signs of Eruptive vellus hair cyst.

What lifestyle changes should I make to manage Eruptive vellus hair cyst effectively?

Maintain good hygiene, avoid skin trauma, and keep the affected area clean to manage Eruptive vellus hair cyst effectively.

Are there any risks associated with untreated Eruptive vellus hair cyst?

Yes, untreated Eruptive vellus hair cysts may become infected or inflamed, leading to discomfort and scarring.

What treatment options are available for Eruptive vellus hair cyst?

Treatment options for Eruptive vellus hair cyst may include surgical removal, laser therapy, or topical retinoids to reduce the appearance of lesions.

Are there any signs that Eruptive vellus hair cyst might recur after treatment?

Yes, there is a possibility of recurrence even after treatment for Eruptive vellus hair cyst.

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