Milia

Basic Concept

In general, Milia are common non-cancerous (benign) skin findings in people of all ages. Moreover, It formed directly from sloughed-off skin (primary milia) small, fluid-fill lesions (cysts) usually found on the faces of infants and adults, while lesions formed indirectly (secondary milia) small cysts found within areas of skin affected by another skin condition.
It form when skin does not slough off normally but instead remains trapped in a pocket on the surface of the skin. An individual milium form (derived) from a hair follicle (pilosebaceous unit) or from a sweat gland (in other words, eccrine gland). In primary milia in infants, the oil gland (in other words, sebaceous gland) may not fully develope. Secondary milia often develop after injury (trauma) or blistering of the skin, which disrupts and clogs the tubes (glandular ducts) leading to the skin surface. Secondary milia can also develop on the sun-damaged skin of middle-aged and older people.

Pathophysiology

It are tiny epidermoid cysts. The cysts may be derived from the pilosebaceous follicle. Primary milia arise on facial skin bearing vellus hair follicles. Secondary milia result from damage to the pilosebaceous unit.

Race

No racial predilection is recognized.

Sex

Sexual prevalence is equal for primary and secondary milia. Eruptive milia and milia en plaque occur more frequently in women.

Age

It occur in persons of all ages but are typically found in infant

Causes of Milia

• Heavy Skin Care Products

No doubt the most common reason it form is from smothering your skin with heavy skin care products or hair care items. Comedogenic creams and lotions may prevent the sloughing of dead epidermal skin cells. Hidden problem products include make-up removers not labeled oil-free or non-comedogenic, hair spray, hair mousse and gel, heavy sunscreens and some moisturizers. The eyelids are very thin and more likely to experience problems with milia due to cosmetics. Re-evaluate your eye make-up and eyelid make-up remover if you are finding this to be a concern.

• Prolonged History Of Sun Damage

The formation of It can also be due to cumulative sun exposure. Aging skin forms a thicker epidermis that may make it far more difficult for skin cells to find their way out of the glands. And thicker skin also makes for more road blocks in the pathway to exfoliation.

• Porphyria Cutanea Tarda

It can also be associated with certain skin diseases, particularly blistering disorders such as Porphyria Cutanea Tarda. Fortunately, there are other symptoms associated with these blistering diseases. Blisters, for one and increased hair on the face and backs of hands and knuckles, for another. PCT is an unusual disorder. If you have It, don’t initially jump to the conclusion you have a blistering condition.

• Genetics

Sometimes we just inherit certain undesirable skin tendencies

Signs and Symptom
They are asymptomatic. In children and adults, they usually arise around the eye. Eruptive milia, as the name suggests, have a rapid onset, often within a few weeks.
Physical

• Skin lesions

  • They are superficial, uniform, pearly white to yellowish, domed lesions measuring 1-2 mm in diameter.
  • In milia en plaque, multiple milia arise on an erythematous plaque.

• Skin distribution
  • Primary milia, in term infants, occur on the face, especially the nose. They also may found on the mucosa (Epstein pearls) and palate (Bohn nodules).
  • Primary milia in older children and adults develop on the face, particularly around the eyes.
  • They  have observed to occur in a transverse, linear distribution along the nasal groove in some children.
  • Secondary milia are found anywhere on the body at the sites affected by the predisposing condition.
  • Eruptive milia occur on the head, neck, and upper body.
  • Milia en plaque manifests as distinct plaques on the head and neck. Plaques have describe in the postauricular area, unilaterally or bilaterally, the cheeks, the submandibular plaques, and on the pinna.

Treatment

Medical Care

• No topical or systemic medications are effective on primary and secondary milia.

Surgical Care

• It can safely left alone, but if the patient requests treatment, then incision with a cutting-edge needle and manual expression of the contents are effective. This can perform without local anesthetic.
• Milia en plaque has treated effectively with electrodesiccation, carbon dioxide laser, dermabrasion, and cryosurgery.

Homoeopathic Treatment
Thuja is a very well proven remedy for milia. To use under the supervision of a doctor.
“HOMOEOPATHY FOR TOTAL SAFE AND NATURAL WAY OF CURE WITHOUT SIDE EFFECT”

Homeopathic Treatment of Milia

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.

Which includes

• The medical history of the patient,
• Physical and mental constitution,
• Family history,
• Presenting symptoms,
• Underlying pathology,
• Possible causative factors etc.

A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.

What Homoeopathic doctors do? 

A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?

The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. Now a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.

The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improve with homeopathic medicines.

Homeopathic Medicines for Milia: 

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.

So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).

Medicines:

Calcarea iodata

• In general, Calcarea iodata is considered a specific remedy for Milia.
• It is prescribed to flabby children subject to cold.
• Secretions inclined to be profuse also yellow.
• Besides this, Scrofulous children with enlarged glands.
• Calcarea iodata is more suitable to those children suffering from adenoids.

Staphysagria

• Staphysagria is another excellent medicine for Milia.
• The skin is very sensitive touch which may bring convulsions.
• The patient experiences itching, by scratching itch may changes location.

Thuja

• Thuja is best medicines for Milia.
• Especially suited to hydrogenous constitution of Grauvogl, which is related to sycosis as effect is to cause.
• Acts well in lymphatic temperament, in very fleshy persons, dark complexion, black hair, unhealthy skin.
• Thuja bears the same relation to the sycosis of Hahnemann—fig warts, condylomata also wart-like excrescenses upon mucous and cutaneous surfaces.
• Ailments from bad effects of vaccination, from either suppressed or maltreated gonorrhea.
• Skin is Looks dirty; brown or brownish-white spots here and there; warts, large, seedy, pedunculated.
• Eruptions only on covered parts, burn after scratching.
• Nails are Deformed, brittle
• Sweat Only on uncovered parts; or all over except the head, when he sleeps, stops when he wakes, profuse, sour smelling, fetid, at night.
• Perspiration, smelling like honey, on the genitals
• Aggravation: At night; from heat of bed; at 3 a.m. and 3 p.m.; from cold, damp air; narcotics.

Causticum

• Causticum is good medicine for Milia.
• It is adapted to persons with dark hair and rigid fibre, weakly, psoric, with excessively yellow, sallow complexion, subject to affections of respiratory and urinary tracts.
• Children with dark hair and eyes, delicate, sensitive; skin prone to intertrigo during dentition or convulsions with eruption of teeth.
• Patient improves for a time, then comes to a “stand still”.
• Cicatrices, especially burns, scalds, freshen up, become sore again,old injuries re-open; patients say “they never have been well since that burn.”
• Also, medicines for Warts: Large, jagged, often pedunculated; bleeding easily; exuding moisture; small, all over the body; on eyelids, face; on the nose.
• Rawness or soreness of skin.
• It affects the right side most prominently.
• Cannot cover too warmly, but warmth does not aggravation.
• Aggravation: In clear, fine weather; coming from the air into a warm room, cold air, especially draft of cold air, on becoming cold; from getting wet or bathing.
• Amelioration: In damp, wet weather; warm air.

Antium crud

• Generally, Antium curd is the good medicine for unwanted eruption on body.
• For children and young people inclined to grow fat, for the extremes of life.
• Old people with morning diarrhea, suddenly become constipated, or alternate diarrhea and constipation; pulse hard and rapid.
• Sensitive to the cold, worse condition especially after taking cold.
• Longing for acids and pickles.
• Cannot bear the heat of sun; worse from over-exertion in the sun aggravation from over-heating near the fire; exhausted in warm weather, ailments from sunburn.
• Aversion to cold bathing; child cries when washed or bathed with cold water, cold bathing causes violent headache, causes suppressed menses, colds from swimming or falling into the water.
• Disposition to abnormal growths of the skin.
• Fingernails do not grow rapidly; crushed nails grow in splits like warts with horny spots.
• Aggravation: After eating; cold baths, acids or sour wine; after heat of sun or fire; extremes of cold, or heat.
• Amelioration: In the open air, during rest, after a warm bath.

Frequently Asked Questions

What is Milia?

Milia are deep seeded white bumps that form when skin cells become trapped rather than exfoliate naturally.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Milia?

• Calcarea iodata
• Staphysagria
• Thuja
• Causticum
• Antium crud

What causes Milia?

• Heavy Skin Care Products
• Prolonged History Of Sun Damage
• Porphyria Cutanea Tarda
• Genetics

What are the symptoms of Milia?

• Superficial, uniform, pearly white to yellowish
• Primary milia, occur on the face
• Secondary milia, anywhere on the body
• Eruptive milia occur on the head, neck, and upper body.
• Milia en plaque on the head and neck