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Year : 1992  |  Volume : 58  |  Issue : 1  |  Page : 43-44

Unilateral palpebral colloid milia


Correspondence Address:
Dilip Kachhawa

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A 55-year old male presented with innumerable lesions of colloid millium unilaterally over eyelids of left eye. This case is reported because of unilateral distribution of lesions on sun protected area.

Keywords: Colloid Milia, Unilateral.

How to cite this article:
Kachhawa D, Khare KA, Singhi M K, Khull. Unilateral palpebral colloid milia. Indian J Dermatol Venereol Leprol 1992;58:43-4

How to cite this URL:
Kachhawa D, Khare KA, Singhi M K, Khull. Unilateral palpebral colloid milia. Indian J Dermatol Venereol Leprol [serial online] 1992 [cited 2015 Nov 28];58:43-4. Available from: http://www.ijdvl.com/text.asp?1992/58/1/43/3743

  Introduction Top

Colloid milium is a degenerative change characterised clinically by the development of yellowish, translucent papules or plaques on light exposed skin and histologically by the presence of colloid in the dermal papillae. The juvenile form is familial and occurs before puberty while the other form is non-familial and occurs in later life. A role of light has been implicated in older patients. These are characterised by small yellowish and sometimes translucent papules of 1-2 mm size, which grow slowly and more or less symmetrically in irregular groups in areas exposed to sun light. The most frequent sites are face especially around the orbits, the back of hands, the back and side of neck and the ears. [1]

We are reporting a 55-year-old patient who presented with innumerable lesions of colloid milium unilaterally over eyelids of left eye.

  Case Report Top

A 55-year-old male presented with innumerable papules of pin point to 2 mm size over both the eyelids of left side [Figure - 1]. The lesions were smooth, skin coloured to yellowish-white and non-tender. The age of onset was 35 years. The lesions were gradually increasing in size and number. The function of eyelids was undisturbed. The cosmetic reason forced the patient to seek our advise. A history of application of anything to the involved area was denied. A lesion was biopsied. The histological features were consistent with the diagnosis of milium.

  Comments Top

Colloid milium is a very common dermatological lesion. These lesions are usually bilaterally distributed in sun exposed area. The presence of innumerable colloid milium only on one side and that too on sun protected are i.e. eyelids prompted us to report the present case.

Appearance of milium following application of corticosteroid [2] and 5­fluorouracil [3] has been reported. Our patient denied application of anything to the involved area.

  References Top

1.Burton JL, Ebling FJG. Disorders of connective tissue. In : Text book of Dermatology. (Rook A, wilknson DS, Ebling FJG, Champion RH, Burton JL, eds), 4th edn. Oxford : Blackwell Scientific Publications, 1986 : 1787-1857.  Back to cited text no. 1    
2.Nunzi E. Milia induced by Corticosteroid. Arch Dermatol 1986; 122 : 139.  Back to cited text no. 2    
3.Brenners. Mucoid milia. Arch Dermatol 1984; 120: 300.  Back to cited text no. 3    


[Figure - 1]


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