Derm: Milia: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Milia🎧 A clear, high-yield breakdown of this keratin-filled cystic skin condition – perfect for exam prep and real-life clinical scenarios.🧠 Key Learning Points📌 Definition• Tiny, benign keratin-filled cysts under the skin• Appear as white or yellowish dome-shaped bumps• Most common on the face (eyelids, cheeks, nose)📌 Causes & Risk Factors• Trapped keratin beneath the epidermis• Skin trauma – burns, blistering, surgery• Prolonged use of thick creams or steroids• Blistering skin conditions (e.g. EB)• Prolonged sun exposure• Extremely common in newborns – affects ~50%• Occlusive skincare and poor exfoliation📌 Pathophysiology• Disruption of normal exfoliation• Keratin gets trapped → forms firm cyst under stratum corneum• In secondary milia: linked to damage or underlying dermatoses📌 Symptoms• Usually asymptomatic• Appear as small (1–2 mm), smooth, white or yellow papules• Can rarely be itchy or inflamed if manipulated• Common sites: eyelids, cheeks, nose, chin; less often genitalia📌 Differential Diagnosis• Acne vulgaris (comedones, inflammation)• Syringomas, xanthelasma, trichoepithelioma• Basal Cell Carcinoma – esp. in older patients• Vitiligo, molluscum contagiosum, Favre-Racouchot📌 Diagnosis• Clinical – based on history and appearance• No tests needed in typical cases• Biopsy if: – Elderly with sun-damaged skin (to rule out elastosis or BCC) – Suspected milia en plaque📌 Management• Often self-resolving, esp. in infants• Watchful waiting is first-line• If removal requested: – Sterile extraction by a professional – Topical retinoids, chemical peels, microdermabrasion• Avoid over-the-counter salicylic acid – not effective• Educate patients: no squeezing or DIY removal📌 Complications• Rare if left alone• Improper removal may cause: – Infection, inflammation – Scarring, pigmentation changes📌 Prognosis• Excellent – benign with no systemic impact• Spontaneous resolution common, especially in neonates• May recur or new lesions may form over time📎 More MSRA Resources for Milia📝 Revision Notes:https://www.passthemsra.com/topic/milia-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/milia-flashcards/💬 Accordion Q&A Notes:https://www.passthemsra.com/topic/milia-accordion-qa-notes/🚀 Rapid Quiz:https://www.passthemsra.com/topic/milia-rapid-quiz/🧪 Topic Quiz:https://www.passthemsra.com/quizzes/milia/🎓 Full Course:https://www.passthemsra.com/courses/dermatology-for-the-msra/Hashtags#MSRA #MSRARevision #MSRATextbook #MSRAQuiz #MSRAQuestionBank #MSRAFlashcards #MSRAQ&ANotes #MSRAAccordions #MultiSpecialityRecruitmentAssessment #MSRAOnlineRevision #MSRARevisionWebsite #Milia #Dermatology