Spectacle Frame Acanthoma

Acanthoma of spectacle frames, also known as spectacle frame dermatitis, is a skin condition that can occur when the skin comes into contact with the materials used in eyeglass frames. This condition can cause discomfort and skin issues around the areas where the frames touch the skin, typically on the nose, ears, and behind the ears. In this article, we will provide you with simple, easy-to-understand information about spectacle frame acanthoma, including its types, causes, symptoms, diagnosis, treatment, and medications.

Types of Spectacle Frame Acanthoma:

  1. Contact Dermatitis: This is the most common type and occurs when the skin reacts to materials in the frame, leading to redness, itching, and sometimes blisters.
  2. Allergic Contact Dermatitis: Some individuals may be allergic to certain frame materials, leading to more severe skin reactions, such as hives and intense itching.

Causes of Spectacle Frame Acanthoma:

  1. Frame Materials: Frames made from certain materials like nickel, rubber, or latex can trigger skin irritation.
  2. Friction: Continuous rubbing or pressure on the skin by the frames can cause acanthoma.
  3. Sweat and Moisture: Accumulation of sweat or moisture under the frames can irritate the skin.
  4. Cosmetics: The use of lotions, perfumes, or makeup on the face can react with the frame materials.
  5. Poor Frame Fit: Ill-fitting frames can cause pressure points leading to acanthoma.
  6. Long-Term Wear: Prolonged use of eyeglasses without breaks can exacerbate the condition.
  7. Dust and Allergens: Particles trapped between the skin and frames can irritate the skin.
  8. Frame Coatings: Some coatings on frames may contain allergens or irritants.
  9. Frame Age: Older frames may have deteriorated materials that irritate the skin.
  10. Frame Adjustments: Frequent adjustments can lead to skin friction.
  11. Skin Sensitivity: Some individuals have more sensitive skin prone to acanthoma.
  12. Frequent Cleaning: Overuse of harsh cleaning agents on frames.
  13. Metal Allergies: Nickel sensitivity is a common cause of skin reactions.
  14. Frame Hygiene: Not cleaning frames regularly can lead to bacteria buildup.
  15. Frame Accessories: Attachments like nose pads may cause irritation.
  16. Sun Exposure: UV rays can worsen skin reactions.
  17. Age: Skin becomes more susceptible with age.
  18. Genetics: Family history may play a role in skin sensitivity.
  19. Medications: Certain medications can increase skin sensitivity.
  20. Underlying Skin Conditions: Existing skin issues can make acanthoma worse.

Symptoms of Spectacle Frame Acanthoma:

  1. Redness: The affected area may become red or inflamed.
  2. Itching: Persistent itching is a common symptom.
  3. Burning Sensation: Some people report a burning feeling.
  4. Swelling: Swelling around the frame contact points.
  5. Blisters: Fluid-filled bumps may appear.
  6. Dry or Flaky Skin: Skin can become dry or start to peel.
  7. Soreness: The skin may feel tender to the touch.
  8. Pain: Discomfort or pain around the frame areas.
  9. Rash: A rash may develop, causing further irritation.
  10. Cracking Skin: Skin may crack or become rough.
  11. Scaling: Skin may appear scaly or rough.
  12. Pustules: Pus-filled bumps can form in severe cases.
  13. Discoloration: Skin may darken or change color.
  14. Erosion: Skin may erode or wear away.
  15. Tightness: A feeling of tightness or pressure.
  16. Warmth: The affected area may feel warm.
  17. Difficulty Wearing Frames: Discomfort while wearing glasses.
  18. Secondary Infection: Scratching can lead to infections.
  19. Peeling Skin: Skin may peel off in sheets.
  20. Allergic Reactions: Symptoms of allergies may occur.

Diagnostic Tests for Spectacle Frame Acanthoma:

  1. Physical Examination: A doctor will visually inspect the affected skin.
  2. Medical History: Discussing your eyeglass use and materials.
  3. Patch Testing: To identify specific allergens causing reactions.
  4. Skin Biopsy: Taking a small skin sample for examination.
  5. Dermoscopy: Using a device to examine skin at a microscopic level.
  6. Wood’s Lamp Examination: UV light to detect skin issues.
  7. Skin Allergy Tests: To identify allergens causing reactions.
  8. Blood Tests: To rule out underlying conditions.
  9. Allergen Patch Testing: Testing for allergies to specific substances.
  10. Scraping Test: Collecting skin samples for analysis.
  11. Skin Culture: To check for bacterial or fungal infections.
  12. Polarized Light Microscopy: For a detailed skin examination.
  13. Tape Stripping: To assess skin barrier function.
  14. Skin Prick Test: Identifying allergies using tiny pricks on the skin.
  15. Skin Scraping: Collecting skin samples for analysis.
  16. Immunofluorescence Testing: Identifying immune system involvement.
  17. Intradermal Testing: Testing for allergies beneath the skin surface.
  18. Microscopic Examination: Examining skin samples under a microscope.
  19. Photography: Taking photos for documentation and analysis.
  20. Skin pH Testing: Measuring the acidity of the skin.

Treatments for Spectacle Frame Acanthoma:

  1. Frame Adjustment: Ensuring frames fit comfortably.
  2. Changing Frames: Switching to hypoallergenic or plastic frames.
  3. Frame Padding: Adding soft padding to frame areas.
  4. Topical Steroids: Creams or ointments to reduce inflammation.
  5. Oral Steroids: In severe cases, prescribed by a doctor.
  6. Antihistamines: To relieve itching and discomfort.
  7. Moisturizers: Keeping the affected area hydrated.
  8. Cold Compress: Applying a cold compress to reduce swelling.
  9. Avoid Trigger Materials: Identifying and avoiding allergenic frame materials.
  10. Cleaning Routine: Regularly clean frames with mild soap and water.
  11. Anti-Itch Creams: Over-the-counter creams for itching.
  12. Barrier Creams: Protecting the skin from frame contact.
  13. Avoid Perfumes and Cosmetics: Reducing potential irritants.
  14. Proper Hygiene: Keeping the skin around frames clean.
  15. Corticosteroid Creams: For reducing inflammation.
  16. Emollients: To soothe and hydrate the skin.
  17. Prescription Creams: Stronger medications prescribed by a doctor.
  18. Oral Antifungals: For fungal infections, if present.
  19. Oral Antibiotics: If a bacterial infection develops.
  20. Anti-Allergy Eye Drops: For ocular symptoms.
  21. Avoid Sun Exposure: Using sunscreen or wearing a wide-brimmed hat.
  22. Cryotherapy: Freezing therapy for stubborn lesions.
  23. Laser Therapy: To treat more severe cases.
  24. Photodynamic Therapy: Combining light and medication for treatment.
  25. Wound Care: Keeping open sores clean and protected.
  26. Avoid Scratching: To prevent secondary infections.
  27. Allergen Immunotherapy: If allergies are a trigger.
  28. Systemic Antifungals: For fungal infections affecting larger areas.
  29. Hydrocortisone Cream: Mild anti-inflammatory for itch relief.
  30. Lifestyle Changes: Reducing eyeglass use or changing habits.

Drugs for Spectacle Frame Acanthoma:

  1. Hydrocortisone Cream: Over-the-counter anti-inflammatory.
  2. Prednisone: Prescription oral corticosteroid.
  3. Triamcinolone Cream: Topical corticosteroid.
  4. Clobetasol Cream: Stronger prescription corticosteroid.
  5. Diphenhydramine: Over-the-counter antihistamine.
  6. Cetirizine: Non-prescription antihistamine.
  7. Mupirocin: Antibacterial ointment.
  8. Clotrimazole: Antifungal cream.
  9. Ketoconazole: Prescription antifungal.
  10. Fluconazole: Prescription antifungal (oral).
  11. Tacrolimus: Topical immunosuppressant.
  12. Pimecrolimus: Topical immunosuppressant.
  13. Desonide Cream: Mild corticosteroid.
  14. Loratadine: Non-prescription antihistamine.
  15. Ibuprofen: Over-the-counter pain reliever.
  16. Acetaminophen: Non-prescription pain reliever.
  17. Prednisolone: Prescription corticosteroid.
  18. Fluocinonide Cream: Topical corticosteroid.
  19. Mometasone Cream: Prescription corticosteroid.
  20. Antifungal Shampoo: For fungal-related symptoms.

Explanation of Details in Simple Language:

  • Types of Spectacle Frame Acanthoma: There are two main types – regular contact dermatitis and allergic contact dermatitis. The first one is more common and happens when the skin gets irritated by frame materials. The second type is when someone is allergic to certain frame materials and can experience more severe skin reactions.
  • Causes: There are several reasons why someone might develop spectacle frame acanthoma. These include the materials the frames are made of, friction between the frames and skin, moisture, cosmetics, poor frame fit, and more. Some people are more prone to it due to their skin type, while others may develop it because of medications they are taking or underlying skin conditions.
  • Symptoms: Signs that you might have this condition include redness, itching, swelling, blisters, and even pain around the areas where the glasses touch your skin. In more severe cases, you may notice pus-filled bumps, cracking or peeling skin, and a rash.
  • Diagnostic Tests: Doctors will typically start with a physical examination and ask about your medical history and eyeglass use. They might also do patch testing, skin biopsies, and other tests to pinpoint the cause of your skin issues.
  • Treatments: Treatment options include adjusting your frames, changing to different frame materials, using creams or ointments to reduce inflammation, taking antihistamines to relieve itching, and keeping your skin clean and moisturized. In severe cases, your doctor may prescribe stronger medications or recommend therapies like laser treatment.
  • Drugs: Some medications that can help with spectacle frame acanthoma include corticosteroid creams, antihistamines, and antibiotics or antifungal drugs if there is an infection. These medications can be topical (applied to the skin) or oral (taken by mouth).

In conclusion, spectacle frame acanthoma is a skin condition that can be caused by various factors related to wearing eyeglasses. It can cause discomfort and skin issues, but with the right treatment and precautions, you can manage and alleviate the symptoms. If you suspect you have this condition, it’s important to consult a healthcare professional for proper diagnosis and treatment.

Disclaimer: Each person’s journey is unique, always seek the advice of a medical professional before trying any treatments to ensure to find the best plan for you. This guide is for general information and educational purposes only. If you or someone are suffering from this disease condition bookmark this page or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. Thank you for giving your valuable time to read the article.

  1. https://medlineplus.gov/skinconditions.html
  2. https://www.aad.org/about/burden-of-skin-disease
  3. https://www.usa.gov/federal-agencies/national-institute-of-arthritis-musculoskeletal-and-skin-diseases
  4. https://www.cdc.gov/niosh/topics/skin/default.html
  5. https://www.skincancer.org/
  6. https://www.jaad.org/
  7. https://www.psoriasis.org/about-psoriasis/
  8. https://books.google.com/books?
  9. https://www.niams.nih.gov/health-topics/skin-diseases
  10. https://cms.centerwatch.com/directories/1067-fda-approved-drugs/topic/292-skin-infections-disorders
  11. https://www.fda.gov/files/drugs/published/Acute-Bacterial-Skin-and-Skin-Structure-Infections—Developing-Drugs-for-Treatment.pdf
  12. https://dermnetnz.org/topics
  13. https://www.aaaai.org/conditions-treatments/allergies/skin-allergy
  14. https://www.sciencedirect.com/topics/medicine-and-dentistry/occupational-skin-disease
  15. https://aafa.org/allergies/allergy-symptoms/skin-allergies/
  16. https://www.nibib.nih.gov/
  17. https://rxharun.com/rxharun/rxharun/article-types/skin-care-beauty/skin-diseases-types-symptoms-treatment/
  18. https://www.nei.nih.gov/
  19. https://en.wikipedia.org/wiki/List_of_skin_conditions
  20. https://en.wikipedia.org/?title=List_of_skin_diseases&redirect=no
  21. https://en.wikipedia.org/wiki/Skin_condition
  22. https://oxfordtreatment.com/
  23. https://www.nidcd.nih.gov/health/
  24. https://consumer.ftc.gov/articles/w
  25. https://www.nccih.nih.gov/health
  26. https://catalog.ninds.nih.gov/
  27. https://www.aarda.org/diseaselist/
  28. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets
  29. https://www.nibib.nih.gov/
  30. https://www.nia.nih.gov/health/topics
  31. https://www.nichd.nih.gov/
  32. https://www.nimh.nih.gov/health/topics
  33. https://www.nichd.nih.gov/
  34. https://www.niehs.nih.gov
  35. https://www.nimhd.nih.gov/
  36. https://www.nhlbi.nih.gov/health-topics
  37. https://obssr.od.nih.gov/
  38. https://www.nichd.nih.gov/health/topics
  39. https://rarediseases.info.nih.gov/diseases
  40. https://beta.rarediseases.info.nih.gov/diseases
  41. https://orwh.od.nih.gov/

References