Milia – “milk spots” – a common rash in babies

What is milia?

This is a pearl-like rash that is a yellowish white and 1-2mm in size. Sometimes it is referred to as “milk bumps”

Why does milia occur?

Milia is actually keratin (dead skin) buried in the dermis.
A similar finding in the oral cavity is referred to as Epstein’s pearl and it is also quite common in pediatrics.

Where is milia commonly found?

Mainly on the forehead, cheeks, nose or chin, but it can be found anywhere in the body.

What is the treatment for it?

There is no treatment because milia is not a disease. Usually, it will resolve spontaneously in the first month of life.

In summary, we like this type of rash because it does not indicate any sort of problem and it resolves spontaneously.