Infrared-induced adult colloid milium treated with fractionated CO₂laser

Abstract

Adult colloid milium is a rare cutaneous deposition disorder that frequently involves areas of chronic sun exposure. The most common clinical presentation exhibits multiple, firm, and amber-colored papules that cluster to form large plaques. Histologically, there are masses of amorphous, eosinophilic material expanding the papillary dermis, and at times extending into the mid-dermis, with adjacent solar elastosis. When this disorder affects the face, disfiguring is of great concern and treatment is often sought. Attempts to safely remove colloid milium are generally unsuccessful. Dermabrasion has been reported to be effective. The present authors present a case with extensive facial colloid milium successfully ablated by the fractionated CO2 laser.

A Case of Mucocutaneous Colloid Milium in an Adult Filipino Female with Chronic Kidney Disease

“…Li et al first used of fractionated CO 2 laser to treat these lesions, achieving clinical clearance and no recurrence at the three month follow up. 18 In contrast, there was a minimal response to fractional CO 2 laser in our case owing to the depth of lesions unreached by this mode. Meanwhile, a marked difference was observed using the surgical CO 2 laser as most lesions were mostly ablated and achieved complete epithelization within two weeks.…”

Nodular colloid milium mimicking keloid

“…Gomes reported that photodynamic therapy utilizing methyl aminolevulinate prior to vigorous curettage was useful in two cases, with no recurrences noted after 1 year . Treatment with a fractionated CO 2 laser has also been reported to produce a good therapeutic outcome lasting many months . Our patient has been treated with CO 2 laser, which led to satisfactory outcome after two sessions (Figure ).…”

Adult colloid milium. An underdiagnosed and difficult to treat entity

“…Gomes et al 10 report two cases in which they used photodynamic therapy with methyl-aminolevulinate cream as photosensitizer prior to curettage, with no recurrence at the 1-year follow-up visit. Li et al 11 used a fractionated CO 2 laser, obtaining adequate results over a 3-month follow-up.…”