Bilateral Extensive Periorbital Milia en Plaque Treated with Electrodesiccation

Abstract

The case is being reported here to highlight the features of this rare but now well-recognized dermatologic condition, which has been reported increasingly in the recent past, to discuss the various treatments tried, and to share our experience of treating patients with the simple, inexpensive, easily available, and nonsophisticated office procedure of electrodesiccation.

Milia: A review and classification

“…Histologically, MEP demonstrates a lymphocytic infiltrate and keratinous cysts. Simple extraction, 44 retinoids, 49 minocycline, 44 cryotherapy, 45 electrodessication, 46 dermabrasion, 47 carbon-dioxide laser, 48 photodynamic therapy, 44 and excision 50 may be beneficial therapeutic options. MEP occasionally regresses spontaneously.…”

A new site of milia en plaque: report of a case and review of the literature

“…After three weeks, complete re‐epithelialization occurred, and almost complete resolution of the lesions and no pigmentary changes were observed . Other inexpensive and office surgical procedures such as electrodesiccation and radiosurgery have been applied for the treatment of periorbital milia with partial resolution, but they are associated with considerable risk of thermal injury and scarring.…”

Bilateral Milia En Plaque of the Eyelids: Long Eyelashes and Unibrow—Case Report and Review of Literature

“…12 Electrodesiccation has been used successfully in a single patient. 13 Photodynamic therapy with topical aminolevulinic acid (20%) resulted in partial remission. 1 This treatment is painful.…”