Assessment of Juvenile Colloid Milium with Atypical Cutaneous Horn Like Lesions among Young Yemeni Patient: A Case Study

Abstract

We present the case of a 16-year-old Yemeni boy with juvenile colloid milium, who presented with an unusual variant of juvenile colloid milium with waxy transparent papules on the helices, which resembled a cutaneous horn. This is the third case report in Yemen, as the author has (previously) reported 2 cases in Yemeni sibling(s). Juvenile colloid milium is a rare degenerative dermatosis of keratinocytes manifesting before puberty. It has a chronic course, is detected primarily over sun-exposed areas, and is clinically characterized by the development of translucent, waxy, yellowish-amber papules and plaques containing gelatinous material and (histologically characterized) by the presence of eosinophilic, fissured material in the papillary dermis. We treated our patient with a combination of a chemical peel for flat lesions and electrocautery for larger lesions, with excellent cosmetic results. He was advised to use sunscreen and to avoid contact with herbicides.