Idiopathic Multiple Eruptive Milia Occurred in Unusual Sites

Abstract

Milia are small, white, benign keratinous cysts that are frequently encountered. Multiple eruptive milia are rare, and are characterized by the development of milia that are more extensive in number and distribution than would be expected in primary milia. We report a case of a 19-year-old girl with tiny, white papules in her axillae and on her abdomen with a review of the relevant literature.

Skin‐Colored Papules of the Penis

“…A variety of benign adnexal tumors, cysts, and calcinoses were also considered. Multiple eruptive milia are most commonly associated with genodermatoses, which were not present in our patient, and have not been reported to occur on genital skin . Milia‐like calcinosis occurs in children, but primarily on the hands and feet, most commonly in association with Down syndrome, and it has not been described on the penis .…”

Multiple eruptive milia on scalp

“…Milia present with 1-4 mm sized, white dome-shaped papules. 1,2 Multiple eruptive milia (MEM) is a rare type of milia and more extensive in number and distribution than that would be expected in primary milia. 3 It is characterized by the sudden development of crops of milia over the course of weeks to months.…”

“…To the best of our knowledge, 16 MEM cases have been reported to date in English literature. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] MEM are most commonly seen on the head, neck and trunk. [1][2][3][4][5][6][7][9][10][11][12][13][14][15] Our patient's lesions developed on the scalp, which is a rare involvement area for MEM.…”

Multiple eruptive milia and milia en plaque on the hands and feet of a 2‐month‐old female

“…MEM are a rare variant of primary milia that are characterized by the sudden presentation of large numbers of milia with a wider distribution than simple benign primary milia. The etiology is unclear, although some authors have hypothesized that sunlight or external stimuli may be associated with the pathogenesis of MEM . MEP is a clinical variant of primary milia that is characterized by numerous milia on an erythematous background .…”

“…Simple evacuation with a scalpel blade, comedone extractor or curette is the most effective treatment modality for an individual milium. However, in multiple milia such as MEM or MEP, the optimal therapeutic modality has not been established; commonly used treatments include a carbon dioxide laser, curettage, mild electrocautery and electrodessication . Topical retinoids with mild electrocautery or electrodessication may also be useful …”