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

Wollina, Uwe

doi:10.1111/j.1524-4725.2009.01454.x

Cited by 10 publications

(7 citation statements)

References 14 publications

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“…The lesions will generally persist unchanged without treatment. At present, several treatment modalities are available, including topical tretinoin (4), oral minocyclin (5,9), oral etretinate (10), ablative laser therapy, and cryosurgery (5,11,12), as well as dermabrasion, although it is a possible trigger factor for milia (13), electrodesiccation (14), photodynamic therapy with topical aminolevulinic acid (20%) (15), and radio‐surgical destruction (16). None of the available treatments result in complete remission, but the reduction in the number of milia improves the aesthetic appearance.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Milia En Plaque in a 6‐Year‐Old Chinese Boy

Zhang

Zhu

2011

Pediatric Dermatology

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Milia en plaque is a rare variant of miliathat occurs spontaneously on an erythematous base without identifiable causative factors. Approximately 40 cases have been recorded in the literature. Most occurred in the periauricular area, affected middle-aged patients, and showed a predilection for women. Here, we report a case of milia en plaque on the bilateral posterior helices in a 6-year-old Chinese boy.

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Section: Discussionmentioning

confidence: 99%

Bilateral Milia En Plaque in a 6‐Year‐Old Chinese Boy

Zhang

Zhu

2011

Pediatric Dermatology

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“…Milia en plaque is most commonly observed in the retroaurical area [9]. However, individuals with milia en plaque located on the nose, lip, eyelid, and supraclavicular area have also been described [13][14][15][16]. The lesions initially appear as 1-3 millimeter white cysts aggregated on an erythematous plaque.…”

Section: Discussionmentioning

confidence: 99%

Cryotherapy-induced milia en plaque: case report and literature review

Beutler

Cohen²

2015

Dermatology Online Journal

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Background: Cryotherapy-induced milia is a rarely described cutaneous reaction that may occur in patients who have received cryotherapy with liquid nitrogen. Cryotherapy-induced milia is characterized by 1-2 millimeter white dermal cysts that develop at the healed cryotherapy site. Milia en plaque, an erythematous plaque containing numerous milia, has not previously been described following treatment of a skin lesion with liquid nitrogen cryotherapy.Purpose: We describe a man who developed cryotherapy-induced milia en plaque after receiving cryotherapy to his dorsal hand for the treatment of an actinic keratosis. We also summarize the potential complications of cryotherapy, the differential diagnosis of milia en plaque, and therapeutic interventions for this lesion.Materials and methods: The features of a man with cryotherapy-induced milia en plaque are presented. Using PubMed, the following terms were searched and relevant citations assessed: cryosurgery, cryotherapy, hypothermia, milia and milia en plaque. In addition, the literature on cryotherapy-induced milia and cryotherapy-induced milia en plaque is reviewed.Results: Our patient developed cryotherapy-induced milia en plaque shortly after his cryotherapy site had healed. Some of the asymptomatic cystic dermal lesions had spontaneously resolved when a lesional biopsy was performed to confirm the diagnosis. The diagnosis, natural course, and potential treatments were discussed with the patient. Subsequent management was to observe the area; at follow-up examination, the remainder of the milia had also spontaneously resolved.Conclusion: Cryotherapy-induced milia is a benign condition characterized by the development of small white dermal cystic lesions that develop at a healed liquid nitrogen cryotherapy site. The lesions may appear individually or as milia en plaque. Although the mechanism of pathogenesis is unknown, it may represent a variant of traumatic milia. The diagnosis of milia en plaque can usually be established by clinical presentation. If necessary, a biopsy can be performed to provide pathologic confirmation of the suspected diagnosis. Treatment options include manual extraction, topical retinoids, or observation. As was seen in our patient, the milia may resolve spontaneously.

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“…Such lesions are most often described around the ears . However, a small number of cases involving the eyelids have been documented .…”

Section: Discussionmentioning

confidence: 99%

Eyelid milia en plaque: a treatment challenge with a new CO₂fractional laser

et al. 2013

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Milia en plaque (MEP) is an uncommon finding characterized by numerous tiny milia within an erythematous area. Despite its benign and asymptomatic nature, MEP raises cosmetic concerns; moreover, the available treatment modalities for MEP are limited. In view of the few cases described in the literature, no consensus has been reached, with respect to the optimal treatment for MEP, and the choice of therapy should be individualized. We report a case of eyelid milia en plaque successfully treated with a new CO2 fractional laser that is able to ensure superficial ablation of the epidermis remodeling tissue in-depth, with minimal thermal damage and extremely rapid recovery time. The results obtained after only two treatments were good, no scarring or dyschromic changes have been registered. At 1 year, just few recurrent milia were present.

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

Abstract: Uwe Wollina, MD, has indicated no significant interest with commercial supporters.

Cited by 10 publications

References 14 publications

Bilateral Milia En Plaque in a 6‐Year‐Old Chinese Boy

Bilateral Milia En Plaque in a 6‐Year‐Old Chinese Boy

Cryotherapy-induced milia en plaque: case report and literature review

Eyelid milia en plaque: a treatment challenge with a new CO₂fractional laser

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

Abstract: Uwe Wollina, MD, has indicated no significant interest with commercial supporters.

Cited by 10 publications

References 14 publications

Bilateral Milia En Plaque in a 6‐Year‐Old Chinese Boy

Bilateral Milia En Plaque in a 6‐Year‐Old Chinese Boy

Cryotherapy-induced milia en plaque: case report and literature review

Eyelid milia en plaque: a treatment challenge with a new CO2fractional laser

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Eyelid milia en plaque: a treatment challenge with a new CO₂fractional laser