What is the definition of Milia?

Milia are tiny white bumps or small cysts on the skin. They are almost always seen in newborn babies.

What are the causes for Milia?

Milia occur when dead skin becomes trapped in small pockets at the surface of the skin or mouth. They are common in newborn infants.

Similar cysts are seen in the mouths of newborn infants. They are called Epstein pearls. These cysts also go away on their own.

Adults may develop milia on the face. The bumps and cysts also occur on parts of the body that are swollen (inflamed) or injured. Rough sheets or clothing may irritate the skin and mild reddening around the bump. The middle of the bump will stay white.

Irritated milia are sometimes called "baby acne." This is incorrect since milia are not a true from of acne.

What are the symptoms for Milia?

Symptoms may include:

  • Whitish, pearly bump in the skin of newborns
  • Bumps that appear across the cheeks, nose, and chin
  • Whitish, pearly bump on gums or roof of mouth (they may look like teeth coming through the gums)

What are the current treatments for Milia?

In children, no treatment is needed. Skin changes on the face or cysts in the mouth often go away after the first few weeks of life without treatment. There are no lasting effects.

Adults may have milia removed to improve their appearance.

How do I prevent Milia?

There is no known prevention.

REFERENCES

Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 7.

Long KA, Martin KL. Dermatologic diseases of the neonate. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 666.

James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Epidermal nevi, neoplasms, and cysts. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 29.

  • Condition: Epidermolysis Bullosa Pruriginosa (EBP)
  • Journal: International journal of dermatology
  • Treatment Used: Intravenous Immunoglobulin Therapy (IVIG)
  • Number of Patients: 7
  • Published —
This study evaluated the effectiveness of intravenous (administered into the vein) immunoglobulin therapy (the use of a mixture of antibodies; IVIG) for patients with epidermolysis bullosa pruriginosa (a rare adult-onset skin disorder; EBP).
  • Condition: Vitiligo Surgery
  • Journal: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • Treatment Used: Laser Ablation of the Recipient Area With Platelet-Rich Plasma (PRP)-Enriched Epidermal Suspension Transplant
  • Number of Patients: 0
  • Published —
This study evaluated the extent of repigmentation with noncultured trypsinized fragmented epidermal suspension using platelet-rich plasma (PRP) as a suspending agent and pixel erbium yttrium aluminium garnet laser for ablation of recipient area in patients with stable vitiligo.

There are no recent clinical trials available for this condition. Please check back because new trials are being conducted frequently.