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SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences

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Milia in Infant/Neonate
See also in: External and Internal Eye
Other Resources UpToDate PubMed

Milia in Infant/Neonate

See also in: External and Internal Eye
Contributors: Lowell A. Goldsmith MD, MPH, Craig N. Burkhart MD, Dean Morrell MD
Other Resources UpToDate PubMed

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

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Infantile acne
  • Neonatal acne
  • Molluscum contagiosum
  • Sebaceous hyperplasia in 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 congenita 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 cyst
  • Syringoma
  • 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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Patient Information for Milia in Infant/Neonate
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Milia in Infant/Neonate
See also in: External and Internal Eye
A medical illustration showing key findings of Milia (Pediatric) : Cheek, Eyelids, Face, Nose, White color, Tiny papules
Clinical image of Milia - imageId=59031. Click to open in gallery.  caption: 'Few tiny, smooth, white papules near the eye.'
Few tiny, smooth, white papules near the eye.
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