terça-feira, 7 de dezembro de 2010

Milium/ Milia

O que são?

De acordo com Martins Filho (1995), milum são pontos esbranquiçados de secreção, na região afetada.
No site Codificação e dos GDH, é utilizado termos como pequenos quistos na pele benignos, preenchidos de queratina. No site Altlas de Dermatologia são mais especifico relatando que Milia são múltiplas manchas brancas, 1-2 mm de diâmetro.

Classificação;

Manifesta-se sob duas formas clínicas: milium primário e milium secundário (BARROS,2009).

Áreas acometidas:

Milium primário: Ocorre geralmente nos recém-nascido, na região nasal e facial (Martins Filho 1995).Consideram-se o aparecimento normal e existem em 50% dos recém-nascidos(Codificação e dos GDH).
Também pode ser encontrado na mucosa do palato. Neste caso, elas são chamadas pérolas de Epstein. Em recém-nascidos, esses cistos geralmente desaparecem espontaneamente dentro de alguns dias.(ATLAS DE DESMATOLOGIA).

Milia secundário: Podem ser encontrados em qualquer parte do corpo, também após traumas que prejudiquem o dutos de suor. Milia têm sido descritas em muitas doenças de pele, incluindo o penfigóide bolhoso, epidermólise bolhosa, líquen plano bolhoso, a porfiria cutânea tarda, e queimaduras. A radiação que leva à destruição dos anexos da pele pode causar anéis de milia na periferia da área tratada (ATLAS DE DERMATOLOGIA).






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Como se formam?

De acordo com Barros (2009) Milium são causados por obstrução de folículos pilossebáceos ou ductos sudoríparos(BARROS 2009), já no site SKINGIHT complementa falado que os milium são formados quando a pele morta não se desprendem normalmente, mas ao invés, permanece presa em um bolsa, pequeno-redonda sobre a superfície da pele. Um mílio individual (o singular de milia) é formada na base de um folículo piloso ou glândula sudorípara. É também formado  após uma lesão, queimadura, bolhas, etc., na pele, algo que entupa os dutos.
Acredita-se que milia primaria surge devido a uma disfunção das glândulas sebáceas, por não serem totalmente desenvolvidos, o que explicaria a sua prevalência em recém-nascidos.(ATLAS DE DERMATOLOGIA)


Figura 3.

biópsia mostrando aparentemente quatro milia na digitalização de ampliação. Não se sabe se de forma inequívoca que estão interligados, mas é possível (hematoxilina e eosina, ampliação de 20 × original).

Figura 4.

biópsia mostrando aparentemente quatro milia na digitalização de ampliação. Não se sabe se de forma inequívoca que estão interligados, mas é possível (hematoxilina e eosina, ampliação de 20 × original).
Milia primária encontrada em crianças tendem a sumir dentro de algumas semanas(SKINGIHT)
Não é recomendado nenhum tratamento para os bebês com esta condição. Recomenda-se, no entanto, lavar o rosto um bebê afetado com água quente pelo menos duas vezes por dia.(PATOFA)

Milia secundaria: São diagnosticadas pela observação direta. São extraídos com uma agulha e não há cicatrizes ou marcas, mas é muito importante ter uma higiene extra (SEME).


A extração:


Cuidados;

Evite produtos de beleza que possam obstruir os poros, especialmente na zona à volta dos olhos. Tente usar hidratantes com pouca oleosidade. A utilização de um esfoliante suave (preferencialmente orgânico) é fundamental. Finalmente, lembre-se de limpar a sua pele duas vezes ao dia: logo pela manhã, e à noite, de forma a remover as impurezas, a maquilhagem e os tóxicos acumulados. (ANTI-ENVELHECIMENTO)

Referências 

PATOFA. O que é Milia?, Disponivel em: <http://www.patofa.com/portuguese/12810/o-que-e-milia> Acesso em: 07 de dez. de 2010.

ANTI-EVELHECIMENTO, Pápulas brancas de baixo dos olhos. Disponível em: <http://anti-envelhecimento.blogs.sapo.pt/65345.html?thread=4673Acesso em: 07 de dez. de 2010.

SEME, Quistes de Milium. Disponivel em: <
http://www.seme.org/area_pac/quetrata_detalle.php?t=quistes-millium>Acesso em: 07 de dez. de 2010.

BARROS, Lídia Almeida. Dicionário de Dermatologia. São Paulo: UNESP 2009.

CODIFICAÇÃO E DOS GDH, Quitos de Milia. Disponivel em: <
http://portalcodgdh.min-saude.pt/index.php/Quistos_de_miliaAcesso> em: 07 de dez. de 2010.

MARTINS FILHO, José. Lidando com crianças, conversando com os pais 2° edição. São Paulo: Papirus 1995.

ATLAS DE DERMATOLOGIA, Milio. Disponivel em: <
http://www.iqb.es/dermatologia/atlas/milio/milia02.htm> Acesso em: 07 de dez. de 2010.

SKINSIGHT, Milia. Disponivel em: <
http://www.skinsight.com/adult/milia-references.htm>Acesso em: 07 de dez. de 2010.

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