Causes and risk factors
Milia are of two types primary and secondary. Primary cysts are caused due to improper development of the sebaceous gland. It is more commonly seen in infants. Secondary milia is caused due to variety of causes. Injury to the skin (blisters), over use or prolonged use of steroids, sunburn, burns or damage to the skin while doing various skin resurfacing procedures are the common causes of secondary milia.
Clinical Presentation:
Usually milia do not pose any complaints, the patient remains asymptomatic. On examination raised tiny bumps which are yellowish white or red in color are seen. They are multiple in numbers. Milia can also appear around the eyelids (milia en plaque). Milia caused due to injury to the skin (Traumatic milia) can cause itching, redness and irritation of the affected area.
Investigations
The diagnosis is done on the basis of the symptoms narrated by the patient and physical examination. Routine blood test and other investigations are carried out to rule out the other underlying skin conditions.
Treatment
Usually no medical intervention is needed in case of milia. The eruptions clear away in a week or month. However in widespread and extensive cases de roofing of the cysts or destruction using diathermy or cryotherapy can be done. Medications like topical ointments or chemical peels can also be recommended.
Other modes of treatment:
The other modes of treatment can also be effective in treating milia. Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints.
