[Juvenile colloid milium].
BACKGROUND
Colloid Milium is a rare disease. It is characterized by the development, on sun-exposed areas, of clusters of yellow and translucid, hard papules, that seeps a gelatinous substance when opened. This dermatitis predominantly affects elderly patients and, exceptionally, children. We report a case of juvenile colloid milium.


METHODS
A 14 year-old boy consulted for papular, translucid or amber-brown lesions, occasionally hemorrhagic on the cheeks, nose upper lip and the upper edge of the helix of both ears. He was born to consanguineous parents. Living in a rural area, he was exposed to sun during agricultural activities. The lesions had progressed since he was 6 years old and were exacerbated in the summertime. There was no similar case in the family. Histological exploration of a papular lesion showed areas of atrophic epidermis and the presence of a few vacuolized keratinocytes. The epidermis was lifted by nodular lumps of amorphous eosinophilic material deposited in the superficial dermis. Staining with Congo red was negative.


CONCLUSIONS
Juvenile colloid milium is a benign but unesthetic dermatitis. The inducing role of sun exposure is obvious, as in colloid milium of adults, but other pathogenic hypotheses also exist.
Denguezli
M
M
Service de Dermatologie, CHU Farhat Hached, 4002 Sousse, Tunisie. dr.denguezli@topnet.tn
Ghariani
N
N
Kourda
M
M
Belajouza
C
C
Chebil
F
F
Riahi
B
B
Nouira
R
R
D000293:Adolescent; D003872:Dermatitis / Q000473:pathology*; D006801:Humans; D008297:Male; D010787:Photosensitivity Disorders / Q000473:pathology*; D012621:Seasons