Tip 224: milia

Milia are tiny white spots caused by blocked pores (inclusion cysts containing trapped keratinised stratum corneum).

~50% of infants have milia on the face, most resolving within the first 4 weeks of life.

They may also occur on the hard palate (Bohn’s nodules) or on the gum margins (Epstein’s pearls). These also resolve spontaneously.

External link (including photos): Oakley, A. (2015). Skin conditions affecting newborn babies. DermNet NZ.

Alternative reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.

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