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Milium

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Dermatology Therapy

Part of the book series: A to Z Essentials ((ATOZ))

  • 12 Accesses

Synonym(s)

None

Definition

Small, benign, keratin-filled cyst

Pathogenesis

Derived from the pilosebaceous follicle; primary lesions arise from vellus hair follicles; secondary milia result from damage to pilosebaceous unit after skin trauma

Clinical manifestation

Uniform, pearly-white to yellowish, small, domed papules, often in groups; primary milia: usually on the face of newborns; seen around the eye in children and adults; secondary lesions: arise after blistering or trauma, including bullous pemphigoid, inherited and acquired epidermolysis bullosa, bullous lichen planus, porphyria cutanea tarda, and burns

Differential diagnosis

Acne vulgaris; flat wart; syringoma; trichoepithelioma; xanthoma

Therapy

Incision and drainage; light hyfrecation

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References

  • Touart DM, Sau P (1998) Cutaneous deposition diseases. Part I. Journal of the American Academy of Dermatology. 39(2 Pt 1):149–171

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© 2004 Springer-Verlag

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(2004). Milium. In: Levine, N., Levine, C.C. (eds) Dermatology Therapy. A to Z Essentials. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-29668-9_1786

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  • DOI: https://doi.org/10.1007/3-540-29668-9_1786

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-00864-4

  • Online ISBN: 978-3-540-29668-3

  • eBook Packages: Springer Book Archive

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