Wednesday, December 17, 2014

Milia

Milia



● Milia are common superfi cial keratinous cysts that present as white or yellow dome-shaped nodules measuring 1 to 3 mm in diameter. Fig Eccrine hidradenoma. This lesion presents as a solitary nodule, most often on the head and neck or limbs.

● They may represent primary lesions when no cause can be identifi ed or may be secondary variants following skin trauma or other injury.


● Primary milia are seen in up to 50% of newborns and present on the face, upper trunk, and extremities. They typically regress spontaneously. Children and adults can also be affected.

● These lesions are most often apparent on the face (forehead,eyelids, and cheeks; Fig. 25–9) and the external genitalia.

● Diagnostic investigation: microbiology swab for bacteria and yeasts, histology

● Treatment: topical antiseptics, oatmeal baths, frequent showering, topical corticosteroids, systemic antibiotics.

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