Cyst of epithelial originYulia Farida YahyaBag/Dept I Kesehatan kulit & kelamin FK UNSRI-RSUP M HoesinPalembang

At a glance

At a glance

At a glance

At a glance

Millium Milia minute epidermoid cysts, lined with epidermis 7 filled with keratin

EpidemiologyMilia are common, acquired lesions both infants & adultsMen & women affected aqually

Etiology & pathogenesisMilia pilosebaceous or eccrine sweet duct pluggingSuperficial lesions can be primary or secondary the latter resulting injury to the skinSecondary lesions common in sub-epidermal blistering diseases epidermolysis bulloosa, porphyria cutanea tarda, burns, after dermabrasion, ablative laser resurfacing, topical therapy glucocorticoid therapy or 5-fluorouracil treatment

Clinical featuresPrimary millium, a 3-mm hard, seed-like white papuleMilia are 1 2 mm, white, domed papuleCommonly located on the cheeks & eyelids of adultsIn Infants milia are common on the face & mucosaEruptive milia have been reported this is a rare occurrenceMilia en Plaque plaque type, inflammatory variant of milia, commonly, located on the earAcquired milia located anywhere, predisposing trauma or other factors hace occured

Treatment Congenital milia spontaneously resolveAcquired milia resolve spontaneouslyremoved by disrupting overlying epidermis light electrosurgery (electrodessications) 11- blade Expressing the keratin contents

Steatocystoma multiplexNumerous epithelial-linedSebum-filled dermal cystsCharacteristic sebaceous glands in the cyst wallClinical features asymptomatic, yellow or skin-colored dermal, papules or cystLocated most commonly trunk, upper erm, scrotum, chestincised oily materialThe lesion become infected& suppuratesinus formation & scarring

Treatment Simple excicionDrainage of the cyst with manual removal of the cyst wallInflamed lesions respond to intralesional steroids, CO2 laser, oral retinoids or cryotherapy