Milia in scar tissue means more
Small white dots in a healing wound are a marker of a scarring disorder in the skin.
These are milia, or trapped retention cysts of keratin.
If a patient has a blistering disorder and the blister heals with milia like this, then it suggests an underlying subepidermal blistering disease such as porphyria cutanea tarda or epidermolysis bullosa acquisita or a blistering fixed drug reaction.
Hence the presence of simple milia within a scar can help you diagnose more serious disorders. Milia are commonly seen as isolated lesions in the skin, especially on the face, and at all ages.
It is only when they occur in a scar that they may signify an underlying disorder.
For dermatoscopy of this case go to www.skinconsult.com.au
Tags: , Dermatology