๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
MILIUM
MILIUMย ย ICD-10: L72.830
โข A milium is a 1- to 2-mm, superficial, white to yellow, keratin-containing epidermal cyst, occurring multiply, located on the eyelids, cheeks, and forehead in pilosebaceous follicles (Fig. 9-34A and B).
โข The lesions can occur at any age, even in infants.
โข Milia arise either de novo, especially around the eye, or in association with various subepidermal blistering dermatoses (pemphigoid, porphyria cutanea tarda, bullous lichen planus, and epidermolysis bullosa) (Fig. 9-34C) and skin trauma (abrasion, burns, dermabrasion, and radiation therapy).
โข Incision and expression of contents are the method of treatment.
A
B
C
FIGURE 9-34 โข Miliaโ(A) A small chalk-white or yellowish papule on the cheek; it can be slit with a scalpel, releasing a little ball of horny material. (B) A larger lesion on the lower lid of an African woman. (C) Multiple milia on the trunk of a child with hereditary dystrophic epidermolysis bullosa (see Section 6).