Small (<3 mm) benign, keratin-filled cysts that present as white papules most typically on the face but may occur elsewhere on the body (palate, gingiva, genitals)
Primary congenital milia
Typically present at birth or in the first few days of life
Parents may report oral findings.
Ask about recent trauma, burns, skin gra...
Primary congenital milia require no treatment. Milia are benign, asymptomatic, and self-limiting in this condition.
Treatment may be indicated in the following settings:
Diffuse or persistent ...
Natural history of primary congenital milia is that the majority of cases will reso...
Berk DR, Bayliss SJ. Milia: a review and classification. J Am Acad Dermatol. 2008;59(6):1050–1063. [View Abstract on OvidInsights]
Connelly T. Eruptive milia and rapid response...
704.8 Other specified diseases of hair and hair follicles
701.1 Keratoderma, acquired
528.4 Cysts of oral soft tissues
706.2 Sebaceous cyst
L70.2 Acne varioliformis
L85.1 Acquired keratosis ...
Q: Are milia painful or pruritic?
A: No. Milia are asymptomatic. If there is pain, pruritus, fever, or other constitutional symptoms, the diagnosis of milia should be reconsidered.
Q: Are milia cont...
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FIG. 13.5. Milia. Some of the larger lesions are cystic.