Milia | |
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Other names: Milk spot, oil seed[citation needed] | |
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Milia | |
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Symptoms | Single or multiple small 1-2mm pearly-white bumps usually on face and and around eyes[1] |
Usual onset | Any age[2] |
Types | Neonatal, primary, juvenile, milia en plaque, traumatic, drug-induced[1] |
Causes | Congenital, trauma, topical corticosteroids, dermabrasion, associated with DLE[2] |
Diagnostic method | Visualisation, biopsy[1] |
Differential diagnosis | Erythropoietic protoporphyria, mucinoses, lipoid proteinosis, adnexal tumors, primary systemic amyloidosis (adults)[3] |
Treatment | Usually none,[1] laser therapy, dermabrasion, intense pulsed light, chemical peels, cryotherapy[3] |
Frequency | Common[1] |
A milium (plural milia), is a small 1-2mm white bump in the skin of typically the face and around the eyes, which can appear on its own or more usually as several.[2] Types include neonatal, primary, juvenile, milia en plaque, traumatic, and drug-induced.[1] They are sometimes on the genitalia, often mistaken by those affected as warts or other sexually transmitted diseases.[citation needed] Milia can also be confused with stubborn whiteheads.[citation needed]
They can be congenital, triggered by trauma, topical corticosteroids or dermabrasion, or associated with discoid lupus erythematosus.[2] It is a clog of the eccrine sweat gland. It is a keratin-filled cyst that can appear just under the epidermis or on the roof of the mouth.[4][5]: 780
Milia are commonly associated with newborn babies but can appear on people of all ages.[6]: 680
In children, milia often but not always disappear within two to four weeks. For adults, they can be removed by a physician (a dermatologist will have specialist knowledge in this area). A common method that a dermatologist will use to remove a milium is to nick the skin with a #11 surgical blade and then use a comedone extractor to press the cyst out.[7][clarification needed]
Milia
Milia
Milia
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