Milia en plaque: a case report and review of the literature.

BACKGROUND

Milia en plaque (MEP) is an unusual entity with a distinctive clinicohistologic appearance. Optimal treatment is unestablished, particularly for MEP located on difficult anatomic areas.

OBJECTIVE

To illustrate by a case report the clinical presentation and management of MEP.

METHODS

A 35-year-old woman with numerous tiny cysts within an slightly erythematous base in unilateral periorbital distribution is described. Histology revealed epidermal cysts arranged within the entire dermis.

RESULTS

Treatment with chemical exfoliating agents, manual extraction, and topical photodynamic therapy resulted in partial improvement.

CONCLUSION

Dermatologists should become familiar with this peculiar condition, being significantly rare possibly because of underreporting or misdiagnosis. New treatment procedures must be tried to achieve a successful cosmetic result with minimal risks.