At a Glance - Sebaceous gland hyperplasia vs milia

By Dr Jean Watkins, 03 March 2011

Dr Jean Watkins discusses the differences between sebaceous gland hyperplasia and milia in the newborn

Sebaceous gland hyperplasia
Aetiology

  • Occurs in more than 50 per cent of newborn babies.
  • Occurs less commonly in premature babies.
  • Related to hormonal influences of maternal androgens on the pilosebaceous follicles leading to an increase of sebaceous cell numbers and volume.
  • Regression of the lesions follows withdrawal of maternal hormones after delivery.

Presentation

  • Multiple white or yellow papules in areas where there are many sebaceous glands.
  • Most commonly presents on the cheeks, upper lips and forehead.

Management

  • No treatment required.
  • The lesions will resolve spontaneously within the first few months of life.

Milia 

Milia presents as white globules on the chin, cheeks and forehead

Aetiology

  • Occurs in 40 per cent of newborn babies.
  • Small inclusion cysts containing keratin.

Presentation

  • May appear at birth or in infancy.
  • Small, white pearly globules. May be 1-2mm in size.
  • Usually present on the cheeks, chin, forehead or scalp.
  • Larger single milia may occur in the region of the foreskin, scrotum or labia majora.

Management

  • Normally no treatment required.
  • Lesions usually resolve spontaneously within a few weeks.
  • The pricking out of the contents with a sterile needle or cryotherapy, which is sometimes done in older patients with the condition, seems unwarranted in babies.

Before commenting please read our rules for commenting on articles.

If you see a comment you find offensive, you can flag it as inappropriate. In the top right-hand corner of an individual comment, you will see 'flag as inappropriate'. Clicking this prompts us to review the comment. For further information see our rules for commenting on articles.

comments powered by Disqus

Additional Information

 
 

Latest jobs Jobs web feed

More General Practice Jobs