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Usha Alapati, MD; Yelva Lynfield, MD
Department of Veterans Affairs Medical Center, Brooklyn, NY

Arch Dermatol. 1999;135:1543-1548.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 76-year-old white man presented with asymptomatic, tiny, white papules on his upper eyelids that had developed gradually over the past 15 years. His medical history was significant for coronary artery disease, diabetes mellitus, hypothyroidism, and hypercholesterolemia. There was no family history of similar lesions.

Physical examination revealed multiple white papules, 1 mm in diameter, closely aggregated on the medial half of both upper eyelids (Figure 1). A biopsy specimen was obtained (Figure 2).

Figure 1.

Figure 2.

What is your diagnosis?

Diagnosis: Primary milia.

Sections of the biopsy specimen showed a small cyst lined by thin, stratified epithelium containing concentric lamellae of keratin.

Milia are multiple, superficially located, pearly white papules, 1 to 2 mm in diameter. A distinction is made between primary and secondary milia.

Primary milia arise spontaneously, most commonly on the face, especially on the eyelids and cheeks. They . . . [Full Text of this Article]

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