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22 years
Male 21, drinking alcohol too much recently, eating fast food and spices and sleeping 2 to 3 hours only everyday. White pimples started appearing under his eyes. What could it be? Cholesterol?
Apr 26, 2014
2nd opinion

Dr. Rania Mousa General Medicine
It could be one of two depending on the appearance. Your doctor, after seeing you, will predict the cause. One of them is linked 50% with high cholesterol and the other cause not.
1-Xanthelasma (cholesterol deposits around the eye) can occur even if systemic cholesterol is normal. It is a sharply demarcated yellowish deposit of fat underneath the skin, usually on or around the eyelids. While they are neither harmful nor painful, these minor growths may be disfiguring and can be removed.
Approximately one half of individuals with xanthelasma have a lipid disorder.
Since 50% of patients with xanthelasma have lipid disorders, it is recommended that their plasma lipid levels are obtained, as well as LDL cholesterol and HDL cholesterol levels.
Eruptive xanthomas can be seen in primary and secondary causes of hyperlipidemia.
Examples of primary genetic causes include familial dyslipoproteinemia, familial hypertriglyceridemia, and familial lipoprotein lipase deficiency.
Diabetes that is out of control is a common cause of secondary hyperlipidemia. However, most xanthelasma occur in normolipemic persons who may have low HDL cholesterol levels or other lipoprotein abnormalities
2- It could be milia :milium is a small cyst containing keratin (skin protein); they are usually multiple and are then known as milia. These harmless cysts present as tiny pearly-white bumps just under the surface of the skin. Milia are common in all ages and both sexes. They most often arise on the face, and are particularly prominent on the eyelids and cheeks, but they may occur elsewhere.
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