What is milia? HOw do I know if i have this???

Answer 1

Milia are very common, benign, keratin-filled cysts that occur in persons of all ages, from infants to elderly persons. Primary milia are typically seen in infants but also may occur in children and adults. Secondary milia are observed in a number of blistering disorders and following dermabrasion. Milia en plaque and multiple eruptive milia are distinct entities. Milia are tiny epidermoid cysts. The cysts may be derived from the pilosebaceous follicle. Primary milia arise on facial skin bearing vellus hair follicles. Secondary milia result from damage to the pilosebaceous unit. Milia are asymptomatic lesions. In children and adults, they usually arise around the eye. Eruptive milia, as the name suggests, have a rapid onset, often within a few weeks.
Skin lesions: Milia are superficial, uniform, pearly white to yellowish, domed lesions measuring 1-2 mm in diameter.
In milia en plaque, the small papules arise on an erythematous plaque.
Skin distribution: Primary milia, in term infants, occur on the face, especially the nose. They also may be found on the mucosa and palate. Palatal lesions are known as Epstein pearls.
Primary milia in older children and adults develop on the face, particularly around the eyes. In several pediatric reports, milia have been observed to occur in a transverse, linear distribution along the nasal groove. Secondary milia are found anywhere on the body at the sites affected by the predisposing condition.
Eruptive milia occur on the head, neck, and upper body.
Milia en plaque manifests as distinct plaques in the postauricular area, unilaterally or bilaterally. Submandibular plaques and lesions on the pinna have been reported.

No investigations are needed for simple milia. The clinical appearance is diagnostic.
Investigation of the underlying disease is necessary in persons with secondary milia.
Procedures:


Performing a skin biopsy is necessary only if the diagnosis is in doubt. If milia en plaque is suspected, performing a biopsy is prudent to exclude the differential diagnoses of lichen planus follicularis tumidus (a variety of follicular lichen planus), follicular mucinosis, and multiple trichoepitheliomata.
In an elderly person with sun-damaged skin, Favre-Racouchet syndrome (nodular elastosis of the skin) needs to be excluded.

Answer 2

MILIA ARE TINY WHITE BUMPS OR PIMPLES BENIGN AROUND THE NOSE AND EYES NO TOPICAL SYSTEMIC MEDICATIONS IF PT.REQUEST TREATMENT THEN INCISION WITH A CUTTING EDGE NEEDLE AND MANUAL EXPRESSION OF CONTENT CAN BE DONE WITH LITTLE TO NONE ANESTHIA CHECK WITH DOCTOR