Skin care

Milium or milaria in babies, one of the most common lesions on the skin of the newborn


He baby face It is perhaps one of the most delicate parts of the body, since it is exposed to constant changes and is in constant contact with the environment. During the first months, until it acquires its "normal" appearance, it undergoes a multitude of modifications. In the first weeks, pimples or spots may appear, especially on the baby's face, which cause great concern in parents, but fortunately, they are of no consequence and disappear on their own in days or weeks. Did you know that one of the most frequent lesions is milium or milaria, hard white or yellowish bumps that appear on the cheeks and nose?

Despite being also a frequent pathology, with an incidence of 40%, the neonatal milium or milaria is not considered a serious health problem for the newborn. It is a hard papule or skin rash about 1 to 2 centimeters in diameter, with an opalescent white, pearly or yellowish appearance, that appears on the face (forehead, cheeks, nose, and chin). When squeezed (something that is not recommended under any circumstances), a keratinous material comes out, very similar to a small white or slightly yellow pearl, which is formed by remains of keratinocytic cells.

In some cases (the less frequent), milium cysts can also appear at the level of the gums and the midline of the palate, being called in these areas, "epstein pearls", with an incidence of 85%, that is, it is quite frequent in the newborn. They undergo spontaneous exfoliation, that is, they disappear on their own, without the need for medical treatment, in a few weeks or a few months (millium is rare after 4 months).

This circumstance occurs when dead epithelial cells of the epidermis are trapped on the surface of the newborn's facial skin or gums, causing the formation of the pearly white spot. Another theory says that neonatal milium or miliaria is produced by stimulation of the sebaceous glands by maternal hormones that are still circulating in the newborn's blood.

In any case, its diagnosis is very simple to make, since it does not require any special examination. The pediatrician's physical examination is sufficient to diagnose it. It is true that, sometimes, it is confused with neonatal acne, small red pimples, some in the form of pustules (with a white dot) that appear on the face and scalp from the third week of the baby's life, but they have nothing to do with it (the cause of its appearance is unknown here and it manifests itself in the third week of life).

When we observe the appearance of these cysts, as parents the concern arises that the baby has some discomfort or discomfort, but neonatal milium is a benign pathology, which does not cause any discomfort, or stinging and much less pain in the newborn. He also does not present fever, or other symptoms.

Neonatal milium does not require medical treatment, since as I mentioned previously, they are benign and superficial lesions, which disappear spontaneously after a few weeks. Of course, it is advisable and very important to follow the following recommendations, to avoid infectious complications or scar injuries:

- Consult with your pediatrician, who will diagnose the pathology and recommend the appropriate conduct to follow.

- Do not pinch, or try to remove the cysts, which could lead to infectious processes and possible scarring on the baby's face.

- wash hands of the baby with soap and water and also those of the mother and father when they go to pick up the little one. Hygiene measures must be taken to the extreme.

- No kissing and noconstantly touching the newborn's face.

- And of course, do not self-medicate, or use creams, ointments or other medications that may rather complicate the clinical picture, leading to prolonging the pathology or generating others that complicate the health of the newborn.

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Video: Common Skin Problems in Infants - English (September 2020).