MILIA IN ADULTS

These are benign and transient subepidermal keratin cysts that present as small firm white papules in various numbers most commonly distributed on the face, but they can also be present on other anatomical areas such as the upper trunk, extremities, and genital area.

Majority of primary milia accounts for congenital milia that occur spontaneously and are present at birth, mainly over the nose, scalp, eyelids, cheeks, gum border (Bohn nodules), and palate (Epstein pearls).

Most common type (primary congenital milia) manifests at birth, but its onset in premature newborns could manifest weeks later. Milia lesions commonly are asymptomatic and will resolve spontaneously during the first months of life.

CLASSIFICATION OF MILIA

PRIMARY MILIA

• Congenital
• Benign primary milia of children and adults
• Milia en plaque
• Nodular grouped milia
• Multiple eruptive milia 
• Nevus depigmentosus with milia
• Genodermatosis-associated

SECONDARY MILIA:

• Disease-associated
• Medication-associated 
• Trauma-associated 

HOMOEOPATHIC MANAGEMENT:

Homoeopathic medicines are gentle and acts in most effective way. It does not cause any long term side effects and rapidly reduces the discomfort, and other complaints associated with this condition.

There is wide range of medicines are available but for cure always individualised medicine with removal of underline miasm is required.

Calcarea iod: Best remedy for milium Itching in various parts of the body, disappearing and reappearing in other parts, only relieved after much scratching.Persistent itching on the right elbow, followed by the same on the left knee.

Thuja occidental - Purulent pimples, like variola.Warts on any part of the body, with little necks, called fig-warts, tubular warts, same size all the way out, “mother’s marks.” Warts, hard, cleft, and seedyPerspiration sweetish, and strong. Dry skin, with brown spots. Zona; herpetic eruptions. Tearing pains in glands. Glandular enlargement. Nails crippled; brittle and soft.

Antimonium crudum - Eruptive tendency of pimples, vesicles and pustules. Urticaria; white; with red areola, itching fearfully. Measly eruptions. Warts horny. Dry gangrene. Itching when warm in bed. Callositis from slight pressure. Miliary eruptions and nettle-rash.

Causticum -  Miliary eruptions and nettle-rash. Injuries of the skin, which had been healed, become sore again.Itch suppressed by mercury or sulphur, burning itch.Tingling swelling ,Eruptions resembling scabies.

Staphysagria: Itching in various parts of the body, disappearing and reappearing in other parts, only relieved after much scratching.Persistent itching on the right elbow, followed by the same on the left knee.

FEW OTHER REMEDIES ARE AS FOLLOWED

NAT MUR, ANATHERUM, ARSENIC, PARIS QUADRIFOLIA, GRAPHITES, SEPIA