Newborn Nursery at LPCH


photo by Janelle Aby, MD

The white papules on this baby's chin and cheeks are milia. Milia are keratin filled epithethial cysts which occur in up to 40% of newborns. Spontaneous exfoliation and resolution is expected within a few weeks. Parents will occasionally mistake these lesion for neonatal acne, but milia are present at birth and have no inflammatory component. Acne, even though caused by maternal hormones, does not generally appear until after 2 weeks of age.

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