Milia in Infant/Neonate
See also in: External and Internal EyeAlerts and Notices
Synopsis
Milia (singular, milium) are minute epidermal cysts. Primary milia are extremely common on the face of newborns, in which they usually spontaneously resolve by the end of the first month of life. Secondary milia occur after injury to the skin, such as from burns or subepidermal blistering disorders (epidermolysis bullosa).
Codes
ICD10CM:
L72.8 – Other follicular cysts of the skin and subcutaneous tissue
SNOMEDCT:
254679001 – Milia
L72.8 – Other follicular cysts of the skin and subcutaneous tissue
SNOMEDCT:
254679001 – Milia
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Infantile acne
- Neonatal cephalic pustulosis
- Molluscum contagiosum
- Sebaceous hyperplasia in the newborn
- Oral-facial-digital syndrome (type 1) has multiple milia in the first few years of life in addition to congenital mouth and digital malformations.
- Atrichia with papular lesions is a genetic condition of alopecia with milia; patients may be born with hair, but it falls out and is not replaced.
- Keratosis pilaris
- Milia-like calcinosis cutis
- Eruptive vellus hair cysts
- Syringomas
- Nevus comedonicus
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
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References
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Last Updated:10/30/2018
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Milia in Infant/Neonate
See also in: External and Internal Eye