Milium of the areola: A novel regional variant of primary milia

We have observed an underreported variant of milium localized to the areola in three pediatric patients presenting at 20 months to 4 years of age, with solitary areolar lesions without milia elsewhere. In two cases, the lesions were the parents' chief complaint, including one case in which the lesion was symptomatic and had been treated with oral antibiotics by the referring pediatrician. Milium of the areola represents the occurrence of a very common disorder in an uncommon location. We consider milium of the areola to be a regional variant of milia, like nasal crease milia and vulval milia, and best classified as a form of primary milia.