Eruptive Milia and Rapid Response to Topical Tretinoin

Milia: A review and classification

“…Response to topical tretinoin has been documented. 55 Langley et al 52 classified MEM into 3 forms: spontaneous (isolated idiopathic), familial (autosomal dominant), and genodermatosis associated. We prefer to define MEM as cases without associated anomalies and, therefore, consider genodermatosis-associated MEM separately.…”

Atrichia With Papular Lesions Confirmed via Genetic Testing: A Case Report

“…Though this disease can mimic alopecia universalis congenita (AUC), the formation of keratin-filled cysts in a diffuse distribution in the first year of life is pathognomonic of APL and is usually absent in AUC [ 2 , 3 ]. Eruptive milia can occur spontaneously and in association with other autosomal dominant syndromes or genodermatoses [ 4 ].…”

Multiple eruptive milia on scalp

“…To the best of our knowledge, 16 MEM cases have been reported to date in English literature. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] MEM are most commonly seen on the head, neck and trunk. [1][2][3][4][5][6][7][9][10][11][12][13][14][15] Our patient's lesions developed on the scalp, which is a rare involvement area for MEM.…”

“…MEM may affect both sex and occur at any age (2 months-96 years). [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Concurrent disorders such as hypertension, diabetes mellitus, acne and carcinomas have been reported in a few cases with MEM 5,6,8,9,11 (Table 1). Our case did not have any associated disease.…”

“…Several therapy modalities have been used to treat milia including electrodessication, dermabrasion, cryotherapy, simple excision, surgical opening of the cysts, topical retinoids, oral minocycline, oral azithromycin, photodynamic therapy and Er:YAG and CO 2 laser. [3][4][5]8,10,15 Oral doxycycline and topical clindamycin therapies have been used in a patient with MEM with minimal benefit previously. 5 Our patient's lesions did not change with oral doxycycline and ketoconazole shampoo although pruritus completely improved.…”