why do my eyelids burn when i apply moisturizer

Blepharitis. Its not a sign of skin cancer. There are many possible causes for a sore eyelid. They can include: Atopic dermatitis. In addition to the allergens, histamine is inserted to verify the accuracy of the test. Eyelid dermatitis is also called eyelid eczema. When these follicles become inflamed, you can develop blepharitis. It usually starts with red skin and itchiness. Your healthcare provider may prescribe medications to clear up the contact dermatitis. In this Buzzle post, we will discuss the possible causes and at-home treatment options for the same. As some might know, the skin is very acidic and a moisturizer may be the opposite of that, no wonder why your face stings! These are too small and insignificant for the human body to feel or for the human eye to see, but they exist nonetheless. Try your best with the help of the people around you to figure out what may have caused the dermatitis. Eyelid dermatitis is a temporary, treatable skin condition that results from exposure to an allergen or irritant. A . Begoun, Paula. (2020). Being the largest organ, it obviously requires some specific conditions to function. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. "When skin burns, it's a pH issue," explains Dr Marmur. A person with very sensitive skin should consider patch-testing first. Washing your eyes and applying a warm compress can reduce inflammation. This is because the thick consistency can interfere with makeup, or smear. Adults with eczema should watch for eye problems. This can trigger eyelid inflammation, known as blepharitis. Special Offer on Antivirus Software From HowStuffWorks and TotalAV Security. Irritant contact dermatitis occurs when the area around your eyelids comes into contact with an irritating substance. Last medically reviewed on February 15, 2022. Its also dry when there's little humidity -- either in the climate or in the air your home. Use water and a gentle cleanser (like baby shampoo) to clean your eyelids and remove crusts every day. Learn the difference between a chalazion and a stye. To do this, gently pull your eyelid away from your eye and use the washcloth to gently rub the base of the lashes. Reduce consumption of alcohol as it interferes with the natural process of healing. Stinging, burning and itching are common symptoms of eyelid contact dermatitis. People using Vaseline on their eyelids must be careful not to let any enter the eye. Copyright Holisticzine & Buzzle.com, Inc. By clicking Accept, you consent to the use of ALL the cookies. Around 15% to 20% of people experience contact dermatitis at some point in their lives, so know that youre not alone. Finally, its important to talk with your doctor if your eyelids are irritated. The skin around your eyes is very thin and more sensitive than the skin on the other parts of your body. These cookies ensure basic functionalities and security features of the website, anonymously. In certain cases, your doctor might use a swab to collect a sample of the oil or crust that forms on your eyelid. Mayo Clinic. Trouble breathing/shortness of breath, or if you stopped breathing for any reason. Prepare a mixture of warm water and baking soda. Can hemorrhoid cream reduce under-eye puffiness. I recommend using a new clean swab for each eyelid, just to be sure you don't spread any bacteria from one eyelid to the next," explains Dr. Malik. "The Mind-Beauty Connection." Blepharitis can be uncomfortable. Use it to clean your eyelids with blepharitis at least 2 to 3 times a day. Apply eye drops or artificial tears, if applicable. The eyelid burning sensations are often accompanied with watery eyes. All it takes is a little care! An allergic reaction occurs when your body attacks a foreign, and typically harmless, substance. A foreign object in your eye can be anything from a particle of dust to a metal shard. Crouse L, et al. We will be giving you all the possible reasons that your skin might burn after applying your favourite moisturizer! Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. other information we have about you. If you decide to try an over-the-counter topical treatment, make sure to check the ingredient list first. Your doctor may also prescribe lubricating eye drops to stop irritation caused by dry eyes. This website uses cookies to improve your experience while you navigate through the website. Some effects of applying it that people often experience are: The reason behind this is because of the overuse of stuff such as minerals and other things like preservatives. Anterior blepharitis. That causes redness, irritation, crustiness, and dryness. "This should be de done for 5 to 10 minutes once or twice daily.". Victor, Steven M.D. Touch your eyelids with clean hands only. Your doctor may prescribe the use of a short-term topical or oral corticosteroid, which will reduce inflammation, swelling, and itching. For this reason, it works best when a person applies it after other moisturizing products. See your healthcare provider for your eyelid dermatitis instead of trying any at-home treatments. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Blepharitis: Tests and diagnosis. All rights reserved. Rinse your eyes thoroughly with warm water. This cookie is set by GDPR Cookie Consent plugin. The unrefined form may contain carcinogens and other toxic chemicals. Thirdly, styecan be a reason behind the burning of eyelids. If it doesnt cause one in you, then the entire test is considered invalid. Apply a warm compress over your closed eye for a few minutes to loosen the crusty deposits on your eyelids. Its a form of contact dermatitis. Eyelid dermatitis is annoying but shouldnt impact your quality of life. Cosmetics/makeup (mascara, eyeliner, eye shadow and/or sunscreen). Eyelid contact dermatitis. Mayo Clinic Staff. "For instance, if your symptoms are caused by demodex mites in the eyelid, a specialized cleaning routine will be recommended.". Chances are, they'll be quite similar. However, you'll want to be careful about what type of sunscreen you use, as this area tends to be more delicate and sensitive. Wear a wrap around sunglasses when outside to protect your eyes from wind and sunlight. (n.d.). Houston Methodist, Houston, TX. Oily skin is a sign that your moisturizer is much too acidic. Mix warm water with a gentle cleanser, like baby shampoo. Allergy, environmental irritants along with usage of contact lenses, eye drops, and ointments promote the occurrence of conjunctivitis. If a moisturizer causes your eyelids to burn, itch, swell, turn red, or anything else you find uncomfortable, gently rinse your eyes with soap and water. Unfortunately, this condition isnt always preventable, but you can take measures to reduce your risk of inflammation. (2018). It causes eye strain and dryness, which further worsens the condition. In contrast, physical sunscreens use titanium oxide and/or zinc oxide as active . Avoid any that have: Its important to keep your eyelids clean. The . In fact, the ingredients found in eye creams and facial and skin moisturizers are largely designed to do the same thing -- nourish dry skin. Necessary cookies are absolutely essential for the website to function properly. Dip a clean, soft cloth or cotton swab in the warm cleanser and water mixture. Obesity linked to 21 genes related to Alzheimers disease, study finds. Well go through anything you might possibly need to know at all before the next time you apply your moisturizer of choice! 3: acne. Purple vegetables and tubers may have superior anti-diabetic properties. Use a non-prescription artificial tear to remove dryness from your eyes. This is caused by scarring in the hair follicles, which can make your lashes grow incorrectly. Preferred Practice Pattern Guidelines. It is mostly caused by bacteria belonging to Staphylococcus genus. What Causes a Swollen Eyelid, and How Is It Treated? It is not safe to inhale petroleum jelly, including Vaseline. Wash hands after applying Vaseline, to reduce the risk of getting it into the mouth or nose. Your eye doctor can check for blepharitis by doing a physical eye exam. A single copy of these materials may be reprinted for noncommercial personal use only. Metals like the nickel in tweezers or eyelash curlers. But it can also cause symptoms that might mimic. Allergy is one of the prominent eyelid swelling causes. So, its more prone to irritation. You can learn more about how we ensure our content is accurate and current by reading our. Use gentle soaps and detergents instead of harsh products that can dry and irritate your skin. What moisturizer should I use on my eyelids? Youll likely need to use a trial-and-error approach. Many people have used traditional moisturizers on their eyelids on a daily basis for years with no trouble at all. Some of these require needles or lancets but cause minimal pain. This question was answered by the respected dermatologist, Dr Alexis Stephens. Learn more about causes, symptoms, and prevention. It may help with blepharitis, which causes dry and irritated eyelids, as well as dysfunction in the meibomian glands that lubricate the eyes. But it isnt contagious, and it usually doesnt cause any lasting damage to your eyes. Blepharitis is a common eye condition that makes your eyelids red, swollen, irritated, and itchy. When this PH is altered your skin gives a negative reaction. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, it is safe to use Vaseline on the eyelids, https://www.aad.org/public/everyday-care/skin-care-secrets/routine/petroleum-jelly, https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/blepharitis, https://www.sciencedirect.com/science/article/abs/pii/S0736467915002371, https://www.sciencedirect.com/science/article/pii/S0091674914011609, https://www.aao.org/eyenet/article/letters-28, http://www.inchem.org/documents/icsc/icsc/eics1440.htm, https://www.aad.org/public/everyday-care/injured-skin/burns/wound-care-minimize-scars, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912340/, https://www.ewg.org/skindeep/products/515875-Vaseline_Petroleum_Jelly/, Skipping breakfast and fasting may compromise the immune system. As you get older, your skin loses moisture and becomes drier. While this step doesn't necessarily help fix your current flare-up, it's important to do while the circumstances surrounding your irritation are fresh on your mind. Our website services, content, and products are for informational purposes only. Allergies or mites (tiny parasites) may also cause anterior blepharitis, but this is rare. Your healthcare provider may examine you for telltale symptoms like red eyelids, scaly skin and swollen eyelids. Glycerin, or saline, is also inserted. There is a problem with The eyes and eyelids are extremely sensitive, so it's only natural that you might be hesitant about slathering chemical-laden moisturizers over and around your peepers. To avoid these problems one should look out for the early signs of the compatibility of Cetaphil with their skin. Apply a warm washcloth to your closed eyelids for up to five minutes. Our skin takes care of us, so we should do our best to take care of it too! "While it's rare for contact solutions and eye makeup to be the source of eyelid inflammation, they can further aggravate any existing inflammation or contribute to already clogged oil glands," explains Dr. Malik. There are more than one possible reasons and answers to this question. If you are a Mayo Clinic patient, this could Its best to avoid touching your skin, scratching, or rubbing your eyes. They also have lashes with short, curved hair follicles on the edge of the lids. They should stop using the product and contact a doctor. Also known as eczema, this is a long-lasting condition that gives you red, itchy skin.. Required fields are marked *. If there is no skin reaction, it is safe to use. Its a good idea to try to figure out what caused it so that you can avoid the trigger. Your email address will not be published. Contact dermatitis is a very common skin condition. Secondly, inflammation of eyelids called blepharitis can result in burning sensation on eyelids. Learn about causes, symptoms, and treatments. Mineral formulas, made with zinc or titanium dioxide, are a good choice, as they are made for sensitive skin . We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Gently rub your closed eyelids with a diluted solution of baby shampoo. There are 2 types of blepharitis. Why does Neutrogena moisturizer burn my skin? Keep these in mind and were sure youll find the right moisturizer for you! Vaseline can help with a number of dry eyelid conditions. This website uses cookies to improve your experience while you navigate through the website. Yet another reason to see an eye specialist is because prolonged, untreated eyelid inflammation can progress into more serious eyelid changes, such as scarring and loss of eyelashes. Latex in things like goggles, condoms, catheters and balloons. Eyelid contact dermatitis is an inflammatory reaction involving the eyelid skin that is caused by contact with a trigger substance. But opting out of some of these cookies may affect your browsing experience. It typically results from allergies or sensitivities to fragrances, preservatives, or other chemicals. These chemicals may include: Avobenzone. You also lose fat below your skin that's around your eyes. This is the main reason your under eyes may burn when applying the wrong moisturizer for your type of skin. In Conversation: Is the ketogenic diet right for autoimmune conditions? It's thinner than the flesh covering the rest of your face, and it contains fewer oil glands, meaning that the area can easily become dehydrated or aggravated [source: Urquhart]. For the safest use, simply dot the product along the orbital bone, right under your eyebrow and under your eyes in a semi-circle shape about half an inch below your lash line. Does anything seem to improve your symptoms? Why do my eyelids burn when I apply moisturizer? information is beneficial, we may combine your email and website usage information with Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Identifying and Treating the Causes of Eye Pain, personal care products, including eye makeup, moisturizer, cleanser, nail polish, hand cream, hair dye, or shampoo, personal care products, such as benzoyl peroxide in acne management products, metals, such as nickel, which might be found in tweezers, scissors, and jewelry, medications, such as corticosteroids and antibiotics, airborne contaminants, such as dust particles, preservatives in various products, including eye drops, new carpeting, furniture, and mattresses that may shed chemicals and cause a reaction known as off-gassing., a red or pink rash on lighter skin tones or a darker brown or tan rash on darker skin tones, cold washcloth compresses dipped in water, a salve made from plain oatmeal and honey that you apply to the skin. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. For example: National Eczema Society: Eczema around the eyes factsheet.. Wayne State University researchers use drug repurposing to treat resistant bacterial eye infections Sometimes, there is an increase in the sensitivity of the eyes towards light. Beginning Press. You should also try to keep your eyelids and hands clean, which may help to prevent or reduce future recurrences. With your support, Houston Methodist provides exceptional research, education and care that is truly leading medicine. Go to the emergency department right away if your eyelids swell up so much that you cant see. 3: Skin dryness afterwards. The main reason for this is mostly because your skin could be sensitive to some of the ingredients inside Cetaphil moisturizer. If so, when? Vaseline, a brand-name form of petroleum jelly, can moisturize dry skin all over the body, including the eyelids. 5 ways to use petroleum jelly for skin care. Why do my eyelids burn when I apply moisturizer? You may have 1 type of blepharitis, or you may have both types at the same time. It might help to stop using eye makeup when your eyelids are inflamed. Learn about external eyelid stye symptoms, causes, treatment, and, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Red, itchy, burning eyes or eyelids, crusty eyelids or eyelashes, Keeping eyelids clean and free of crusts, warm compresses, antibiotics, or steroid eye drops (in certain cases). Symptoms of inflammation include: These symptoms can also indicate a serious eye infection. Blepharitis. There is no evidence that the refined petroleum jelly in Vaseline causes cancer. Or have you wondered why exactly that happens? We avoid using tertiary references. Petroleum jelly is a thick jelly that creates a moisture barrier, helping to trap moisture in the skin and protect the skin from the elements. Want to know how to get rid of a stye? Upper, lower or both eyelids on one or both sides can be . National Eye Institute. Petroleum jelly is safe when a person uses it properly, but like all skin treatments, it presents some risks. Why do my eyelids burn when I apply moisturizer? Eyelash loss is a potential complication of eyelid inflammation. So if your skin rejects your moisturizer, make sure you listen to it! Swabbing skin for testing. People using Vaseline on their eyelids must be careful not to let any enter the eye. There are other treatment options that may help you manage blepharitis. Your doctor might also suggest eyedrops or antibiotics for infection or inflammation. Learn about common allergens, allergy testing, and. "Is it Safe to Moisturize My Eyelids?" Styes (hordeolums) are red bumps that form on the outside of the eyelid. These do not have any positive effect on the skin and are not natural whatsoever. Ryder E. (2014). Petroleum jelly from Vaseline can also help keep wounds moist. Symptoms of eyelid dermatitis can occur in one or both eyes. You're likely to start by seeing your family doctor. If your eyelids are burning, they feel itchy, and/or are causing you pain and discomfort, it could be the reason of certain medical conditions. Why Does My Hair Smell Bad After I Wash It? These include, 1: oiliness in skin. While eyelid inflammation is common, it's a complex condition with many causes, including: "Given the wide range of both causes and symptoms of eyelid inflammation, the first step in alleviating or even preventing your symptoms is to get a better understanding of the underlying cause of your irritation. You can learn more about how we ensure our content is accurate and current by reading our. This includes removing your eye and facial makeup before going to bed. And stop using tea tree oil if it irritates your skin or eyes. What medical conditions can cause this problem? The body responds to these substances by producing histamines, which can cause burning eyes. Vaseline is a moisture barrier, and it may prevent certain creams and treatments from penetrating the eyelid or the eye. When you apply your favourite moisturizer over it, it has the opposite effect! A person may experience a rash around their eyes for many reasons. Fifthly, for both the upper and lower eyelids, the most possible reason is chalazion. This site complies with the HONcode standard for trustworthy health information: verify here. Blepharitis is a common eye condition that makes your eyelids red, swollen, irritated, and itchy. Your skin may start looking ghostly or shiny. Eyelid inflammation can cause a wide range of symptoms, including: "One doesn't necessarily experience all of these symptoms, just the ones that coincide with the specific cause of their inflammation," adds Dr. Malik. (n.d.). This will assist you in keeping your eyes moisturized. Your family doctor, an internist, or an eye doctor can diagnose eyelid inflammation. Irritant contact dermatitis makes up about 80% of contact dermatitis cases. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Our site includes quite a bit of content, so if you're having an issue finding what you're looking for, go on ahead and use that search feature there! 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://dermnetnz.org/topics/eyelid-contact-dermatitis/), (https://www.merckmanuals.com/home/skin-disorders/itching-and-dermatitis/contact-dermatitis), (https://nationaleczema.org/eczema/types-of-eczema/contact-dermatitis/), (https://nationaleczema.org/eczema-emotional-wellness/), (https://nationaleczema.org/eczema/causes-and-triggers-of-eczema/), Visitation, mask requirements and COVID-19 information. Use a humidifier in the room where you spend most of your time. Learn more about some causes of a rash around the eyes and their treatment options, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. A person should avoid using it if they have a history of allergic reactions to petroleum jelly or Vaseline. An untreated eye infection can cause permanent eye damage and vision loss. Severe burn, electric shock or lightning strike. For example, a doctor may recommend medication, anti-dandruff shampoo, or warm compresses for blepharitis. Last reviewed by a Cleveland Clinic medical professional on 10/25/2021. Do I need to take special care cleaning my contact lenses and my carrying case? Eyelid dermatitis has many causes, and it may be challenging to figure out what is causing your symptoms. Mayo Clinic Staff. Omega-3 fatty acids are found in foods such as salmon, tuna, trout, flaxseed and walnuts. 2005-2023 Healthline Media a Red Ventures Company. We'll assume you're ok with this, but you can opt-out if you wish. Most sunscreen is safe to use on and around the eyelid region (without putting it in your eye, of course). Some people also use it as a moisturizer to reduce the risk of wrinkles, or as a supplement to traditional eye creams. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Follow a healthy diet rich in vitamins, minerals and proteins to boost your immune system. The exact cause of eyelid inflammation cannot always be determined, but different factors may increase your risk of blepharitis. The symptoms are annoying, but shouldnt interfere with your daily life. If your doctor suspects you may have an eyelid problem, such as blepharitis, you might be referred to an eye specialist (optometrist or ophthalmologist). Trends in eyelid dermatitis. All rights reserved. These cookies will be stored in your browser only with your consent. New York, 2003. If you have contact dermatitis, learn your triggers and how to avoid them. Hydrophobic substances (drying agents that repel water). Common skin conditions like rosacea and scalp dandruff can cause posterior blepharitis. Use a clean washcloth or clean fingers. A 2014 study even recommends it for use on newborns, to reduce the risk of developing atopic dermatitis. Your regular moisturizer will do just fine" [source: Wechsler]. Stroke symptoms slurred speech, numbness, weakness, loss of balance and/or vision problems. Eyelid dermatitis causes eyes and eyelids to be itchy, swollen, painful or irritated. You'd think that specialized, expensive eye creams would be easier on your eyelids than other moisturizers, but that's not usually the case. Urquhart, Rachel. Accessed Jan. 25, 2020. Can you put moisturizer on dry eyelids? To wash your eyelids: Avoid anything that irritates your eyes, such as eye makeup and contact lenses. Tests and procedures used to diagnose blepharitis include: Examining your eyes. Or try gently scrubbing your lids once a week with 50% tea tree oil, which is available over-the-counter. Eyelid dermatitis can make eyes itchy, swollen, or irritated. If you cannot identify what is causing the condition, seeing a doctor, such as an allergist or dermatologist, can help. The antibodies create a chemical reaction in the cells, which causes allergic symptoms, such as redness and itching. Find a Houston Methodisteye specialist who treats eyelid irritation, inflammation and infection >, The oil glands in your eyelid becoming clogged, which is also called blepharitis and often associated with rosacea, Allergic dermatitis, whose triggers include eye makeup, eye wash, eye cream, false lashes, airborne allergens and eyedrops, Atopic dermatitis, due to eczema or psoriasis, Avoid touching your eyes, especially with unwashed hands, Remove makeup before going to sleep; toss out old makeup, Maintain good eyelid hygiene with daily cleansing and warm compresses. Eyelid dermatitis develops when the folds of skin above and below your eyes come into contact with an allergen or irritant. You dont need to be allergic to the substance. If a trigger for your symptoms can be identified, eliminating it will be your first and best line of defense. If you have blepharitis, follow this self-care remedy two to four times a day during flare-ups and once or twice a day after the condition is under control: In some cases, you might need to be more deliberate about cleaning the edge of your eyelids at your eyelashes. Chris Obenschain Removing the scales might require several minutes of gentle rubbing. You may opt-out of email communications at any time by clicking on About 15% to 20% of people will experience it at some point during their lives, but its unclear what percentage of those cases are dermatitis of the eyelid. When your eyelids are irritated, you may find it helpful to wear glasses instead of contact lenses and forgo wearing any eye makeup until your symptoms have cleared up. Moisturizers, cleansers, aftershave or eye cream. Mayo Clinic; 2019. Posterior blepharitis. The skin around your eyelids can become dry, red, and itchy when something triggers a reaction. Self-care measures might be the only treatment needed for most cases of blepharitis. Using a dandruff shampoo might relieve your blepharitis signs and symptoms. It ends up being counterproductive and making skin worse than before. Blepharitis. Firmly but gently massage the eyelids, using a clean washcloth or a clean finger. One of the biggest signs of irritant contact dermatitis is skin peeling, according to the American Academy of Allergy Asthma & Immunology (AAAAI). These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Also try not to touch your eyelids unless your hands are clean. You may have no problems using makeup, for example, for a long time and then, suddenly, it causes eyelid dermatitis usually a day or two after you apply the product. If you dont have an infection, your doctor may prescribe steroids, eye drops, or ointment to reduce inflammation. Policy. Allergy, environmental irritants along with usage of contact lenses, eye drops, and ointments promote the occurrence of conjunctivitis. Anterior blepharitis affects the outside of your eye, where your eyelashes attach to your eyelid. Knopf. Your skin should feel light and effortless. People who notice that their skin is dry or irritated during the dry, cold winter months can use it to prevent moisture loss from the eyelids. Getting treatment quickly is important. We do not endorse non-Cleveland Clinic products or services. These cookies track visitors across websites and collect information to provide customized ads. Why do my eyelids burn when I apply moisturizer? The petroleum jelly in Vaseline is refined. Youll need to follow a routine for cleaning your eyelids for the rest of your life to keep it under control. However, you can safely moisturize your eyelids. Try not to use makeup or scented cleansers during this time. Learn about the symptoms and causes of atopic dermatitis, as well as how to treat its symptoms and manage the condition. What does that mean exactly you ask? You may also be referred to a dermatologist (who treats skin) or an allergist (who treats allergies). Blepharitis can lead to other eye problems, including: The best way to treat blepharitis is to keep your eyelids clean and free of crusts. Tests and procedures used to diagnose blepharitis include: Self-care measures, such as washing your eyes and using warm compresses, might be all that's needed for most cases of blepharitis. This is also caused by over acidity. https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/blepharitis. It is contagious in nature. The term may refer to eczema, psoriasis, or seborrheic dermatitis on. Keep reading to learn more about eyelid dermatitis, including treatments, causes, symptoms, and ways to prevent it. Rubbing your eyes can spread an existing infection. Rinse your eyelids with warm water and gently pat them dry with a clean, dry towel. How to identify and treat eyelid dermatitis. If someones skin barrier is weaker than usual, Cetaphil may be too strong and cause a sensation of burning or tingling that the user may find irritating. Shtein RM. Only you can do that. Its common in children, but it can happen at any age.

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