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Friday, 23 February 2018

What are the health benefits of being social?

Humans are born into social groups and live their entire lives as a part of society, so the social element can't easily be removed from the evolution of an individual. But how does social contact affect our health?
As human beings, we dream, learn, grow, and work as part of society. The society that we're born into and the societies that we navigate throughout our lives shape our personal identities.
And in fact, so keen are we to communicate with each other — even beyond geographical limitations — that we've developed a plethora of tools to help us achieve that, including pen and paper, telegraph, telephone, and the Internet.
When I asked my colleagues in the Medical News Today office what benefits — if any — they thought that they derived from social connection, most of them said that they found some measure of comfort in social interaction.
Some colleagues said that they enjoyed the shared experiences, whereas others explained that friends kept them motivated to do "some healthful activities from time to time." Others said that being around friends helped them to "destress and put things into perspective."
Even the most introverted among us crave social contact from time to time. But why is that, and does being social bring us any actual health benefits?
In this Spotlight, we investigate why humans thrive in society, and how social interaction impacts our mental and physical well-being.

Why are we a social species?

It may be intuitive to say that being social has helped our species to not only survive but also thrive over millions of years. But why is that so?
study from 2011, which was published in the journal Nature, argues that being social became a key strength for the primate ancestors of humans when they switched from foraging for food by night (so that they could use darkness as a shield) to carrying out their activities by day (which rendered them more vulnerable to a wider range of predators).
Another more recent study — also in the journal Nature — suggests that early hominids may have evolved a basic form of language because they needed more advanced communication to share ideas. This, they say, helped our ancestors to develop tools that allowed them to live better and evolve further.
Researchers have also suggested that humans are innately compassionatebeings, and that our compassion and empathy have served us well — since the capacity to care and share is highly valued by individuals looking for a mate.
After all, in order for a species to survive, its members have to not only procreate, but also be able to shield their offspring from harm and shield peers from injury, so that they can derive strength from collaboration in the face of adversity.

'Face-to-face contact is like a vaccine'

Psychologist Susan Pinker states that direct person-to-person contact triggers parts of our nervous system that release a "cocktail" of neurotransmitters tasked with regulating our response to stress and anxiety.
In other words, when we communicate with people face-to-face, it could help to make us more resilient to stress factors in the long run.
"Face-to-face contact releases a whole cascade of neurotransmitters and, like a vaccine, they protect you now, in the present, and well into the future, so simply [...] shaking hands, giving somebody a high-five is enough to release oxytocin, which increases your level of trust, and it lowers your cortisol levels, so it lowers your stress."
Susan Pinker
She adds that, as a result of social interaction, "dopamine is [also] generated, which gives us a little high and it kills pain, it's like a naturally produced morphine."
This idea is corroborated by the findings of a study covered by MNT last year, which concluded that the touch of a romantic partner can actually help to relieve physical pain.
Another study from last year showed that those undergoing chemotherapy for cancertend to fare better if they have access to social support and interaction, suggesting that just by being around family, friends, or peers going through similar experiences can strengthen us both mentally and physically.

Social motivation and brain power

Research has shown that by interacting with others, we actually train our brains. Social motivation and social contact can help to improve memory formation and recall and protects the brain from neurodegenerative diseases.
Prof. Matthew Lieberman — from the University of California, Los Angeles — specializes in the mechanics of what he calls our "social brain," which is the neural activity related to social interaction, and the brain benefits that are afforded by it.
He has seen, for instance, that "if you learn in order to teach someone else, then you learn better than if you learn in order to take a test."
This goes against the prominent beliefs in modern educational systems, in which learning on one's own, for the sake of accumulating knowledge and skills, is typically preferred.
Instead, however, Prof. Lieberman notes that "when you're socially motivated to learn, the social brain can do the learning and it can do it better than the analytical network that you typically activate when you try to memorize."
A study published last year also found that maintaining close friendships later in life could help to prevent mental decline.
The research — led by scientists at the Cognitive Neurology and Alzheimer's Disease Center at Northwestern University Feinberg School of Medicine in Chicago, IL — found that "SuperAgers," defined as people aged 80 and above but who have the mental agility of much younger people, appear to have one thing in common: close friends.
"While both SuperAgers and [their peers with average cognitive performance] endorsed high levels of psychological well-being," explain the authors, "SuperAgers endorsed greater levels of positive social relationships than their cognitively average-for-age peers."

Social context determines healthful habits

Several recent studies have also linked social connection with physical health benefits, and better habits with a more healthful lifestyle. Researchers at Maastricht University Medical Centre in the Netherlands saw that socially active individuals have a decreased risk of type 2 diabetes.
In contrast, individuals who did not participate in social activities, such as going out with friends or joining a club, had a 60 percent higher risk of developing a condition called "prediabetes," which generally predates diabetes.
It might be that just being around people who encourage us to keep healthful habits or achieve challenging lifestyle goals could help us to remain mindful of our eating, exercise, and other lifestyle-related habits.
recent study has also found that people who exercised in a group rather than on their own had decreased stress levels and had better mental and physical well-being at the end of a 12-week fitness program.
Their peers who went for solo fitness sessions, or who exercised with only one partner, did not experience the same improvements.
"The communal benefits of coming together with friends and colleagues, and doing something difficult, while encouraging one another, pays dividends beyond exercising alone," notes the study's lead author.

A tool for happiness and longevity

Finally, enjoying close social ties — with friends, partners, or family members — can make us happy and improve our overall life satisfaction in the long run.
Studies have shown that those who enjoy close friendships over their teenage years aren't just happy as adolescents; they also have a lower rate of depression or anxiety later in life.
Similar trends have been observed in the case of older adults. Research published in 2016 revealed that seniors who "liv[e] a socially active life and prioritiz[e] social goals [have] higher late-life satisfaction."
Interestingly, researchers who have studied the inhabitants of so-called Blue Zones around the world — places with a high number of SuperAgers who live to ripe old age while maintaining good health and cognitive function — have noted that while other elements related to diet and lifestyle varied widely, they all appeared to be dedicated to being highly socially active.
Dr. Archelle Georgiou, who studied SuperAgers on the isolated island of Ikaria in Greece, saw that they were constantly surrounded by family, neighbors, and other members of their community, and that they all actively supported each other.
Ikarians, Dr. Georgiou found out, got together almost every evening to destress and shed the worry load of the day.
Similarly, the authors of Ikigai: The Japanese Secret to a Long and Happy Life, who interviewed the supercentenarians of the village Ogimi — in the Japanese prefecture of Okinawa — saw that being socially connected was key in these people's lives.
"It is customary in Okinawa to form close bonds within local communities. A moai is an informal group of people with common interests who look out for one another. For many, serving the community becomes part of their ikigai [life purpose]."
The authors explain that members of a moai"maintain emotional and financial stability," as all the other members of their group help them out if they're in trouble or going through rough times.
Granted, being socially active is not necessarily something that all of us can do all the time. We just need a little space sometimes, and that's O.K.; enjoying our own company helps us to get to know ourselves better and develop some of our inner strengths.
However, at least occasionally, socializing with people — whether they're our close friends or new acquaintances — can allow us to get out of our own heads a little and gain fresh insights about the world.
Being happier, learning better, and living longer are all advantages that should motivate even the most dedicated of loners to get out there and mingle. Now close your browser and give that old friend of yours a call.
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Wednesday, 21 February 2018

Fathers, your stress could affect your child's brain By Catharine Paddock PhD Fact checked by Jasmin Collier

During his lifetime, a father's experience of stress can alter his sperm in ways that impact the development of his offspring — including their brains and how they themselves respond to stress.
A study that was presented recently at the 2018 annual meeting of the American Association for the Advancement of Science, held in Austin, TX, reveals fresh insights into how this happens.
It has already been established that a mother's experience during pregnancy — including the quality of her diet, stress, and infection — can influence the development of her offspring, including their brains.
The new research — which was led by Tracy Bale, who is a professor of pharmacology at the University of Maryland School of Medicine in Baltimore — increases our understanding of how fathers can also influence the brain development of their offspring.
The study, which is yet to be published, concerns the field of epigenetics, relating to factors that can alter the instructions held in our DNA code without changing the code itself.

Epigenetics, health, and disease

Epigenetic changes play an important role in health and disease. For instance, they can change what happens in cells by switching genes on and off and by determining which proteins are produced.
Furthermore, there is mounting evidence from epigenetics regarding how the environmental exposures and experiences of one generation can influence the biological development and disease risks of the next through mechanisms of inheritance.
Cancer was one of the first human diseases that researchers linked to epigenetic changes.
Studies from as early as the 1980s found that tumor tissue from people with colorectal cancer had fewer epigenetic markers known as DNA methylation than normal tissue from the same individuals.
The new study reveals the process through which a lifetime of mild stress in male mice can change specific epigenetic markers in their sperm to shape brain development and impair the stress response of their offspring.

Epigenetic changes and microRNAs

In previous work, Prof. Bale — then at the University of Pennsylvania in Philadelphia — discovered that the epigenetic changes are conveyed through microRNAs, a family of molecules that can turn genes on and off. While they do not code for proteins, micr4oRNAs can influence their production.
That work showed that offspring fathered by adult mice that had experienced "chronic periods of mild stress" had an impaired stress response.
Examples of mild stress challenges included moving the animals to new cages and exposing them to the urine of a predator species, such as that of foxes.
Other research has shown that alterations in the normal stress response may be linked to post-traumatic stress disorderdepression, and other psychiatric conditions.
At the meeting, Prof. Bale presented her latest work, in which she uncovered the biological mechanism that allows changes in the father's microRNA to be passed onto his offspring.

Vesicles holding microRNAs fuse with sperm

Once male sperm forms in the testes, it travels to the caput epididymis, where it matures. A part of the maturing process involves fusing the male "germ cells" with tiny sacs, or vesicles, produced by the caput epididymis.
The vesicles that are fused to the sperm contain microRNAs — including those that may have changed as a result of the father's stress experience. These microRNAs ultimately influence gene expression in the offspring.
The findings suggest that even mild stress challenges in fathers can result in a noticeable change in the development, and therefore health, of their offspring.
The hope is that by learning more about these underlying hereditary mechanisms, we stand a better chance of being able to treat and prevent some of the diseases that they contribute to.

Tuesday, 20 February 2018

How do you get rid of acne around your nose? By Jenna Fletcher Reviewed by Cynthia Cobb, APRN

Acne is one of the most common skin conditions people have. While acne can appear almost anywhere on the body, the nose is particularly prone. A person can prevent future breakouts on their nose by finding the cause and type of acne they have.
Acne vulgaris is characterized by blackheads or whiteheads. It is a chronic skin condition that happens when the hair follicles and their associated glands become swollen or blocked with oil.
Acne rosacea is a type of rosacea, a common skin condition that affects the face. People with rosacea experience redness of the skin that can be lasting or pass quickly.
Rosacea is often accompanied by pustules or small pimples with yellow or white centers, or papules, which are small, solid pimples or swellings without any pus.
Fast facts on nose acne:
  • Nose acne can be caused by either acne vulgaris or acne rosacea.
  • A good skincare routine can be key to helping prevent both types.
  • The exact cause depends on which type of acne is on the nose.

Difference between acne and rosacea

Due to similar symptoms, it is often difficult to tell the difference between the two types of nose acne.
Acne vulgaris is closer to stereotypical acne. It is related to the following:
  • blackheads
  • whiteheads
  • pimples
  • cysts
It is also likely that a person with acne vulgaris on the nose will notice it on other parts of the face and body.
Acne rosacea, on the other hand, is a subtype of rosacea and not related to acne types. It is also possible to have both acne vulgaris and acne rosacea.
One of the best ways to tell the two conditions apart is the presence of clogged pores. A person can check their nose for:
  • whiteheads
  • blackheads
  • pus-filled bumps
  • cysts
  • pustules
Acne rosacea is characterized by red, swollen, or inflamed skin. It will often start on the nose. And it can spread to nearby areas, such as the cheeks. It will not spread over the entire face or body. Often, the nose may appear enlarged.

What are the causes of acne vulgaris?

Acne vulgaris is when the pores in the skin become clogged and trap bacteria.
The sebaceous glands support healthy skin by producing an oil-like substance called sebum. At times, these glands may produce too much sebum. Too much sebum can trap debris, such as dead skin or bacteria, in the pores.
The nose is particularly vulnerable because the pores in this location tend to be larger than elsewhere. The larger size makes it easier for debris to become trapped, leading to acne breakouts.
Some underlying conditions may also cause acne to form on different parts of the nose. Some examples include:
  • Digestive troubles: Often associated with the formation of acne on the tip of the nose.
  • Hormone fluctuations: These can lead to acne forming on the side of the nose.
  • Hair removal or blowing the nose: Under these circumstances, acne often occurs inside the nose.
Certain conditions make acne vulgaris outbreaks more likely. These include:
  • hormone fluctuations
  • Increased stress
  • a family history

Treatment and prevention of acne vulgaris

Acne vulgaris may cause an inflammatory or noninflammatory response. These two responses require different treatments.
For inflammatory responses, nodes or cysts tend to form. This causes swelling around the nose and any other area that is affected. Often, over-the-counter and at-home solutions are sufficient to treat this type of acne vulgaris.
These treatments may include:
  • using a warm, wet washcloth to draw out oils
  • applying ice to reduce swelling
  • over-the-counter creams that contain benzoyl peroxide
  • pimple patches and swabs
  • medicated facial cleansers
For more severe cases of inflammatory acne vulgaris, a person may need to see a dermatologist. A dermatologist can prescribe stronger medications to help clear up severe cases.
For non-inflammatory responses of acne vulgaris, it is often easy to treat with over-the-counter products and at-home remedies. Typically, the medication involved is salicylic acid. Salicylic acid can help remove dead skin and remove excess oil.
Some products include:
  • creams
  • ointments
  • toners
  • scrubs
  • cleansers
These products help clear oils from the skin. In the process, they help clear the clogged pores and kill any trapped bacteria.
In general, a person should:
  • wash their face with gentle cleansers twice a day
  • use salicylic acid toners and creams to help clear pores
  • protect the skin from sun exposure
  • keep the skin moisturized
  • use a clay mask or other mask specific to acne prevention
  • What are the causes of acne rosacea?

    Acne rosacea is not true acne, despite its name. Instead, it is a type of rosacea.
    Rosacea is a skin condition that can cause redness and swelling in addition to acne-like breakouts. Acne rosacea is caused by inflamed blood vessels that become visible on the surface of the skin. The resulting redness may also form acne-like bumps on the skin.
    Though acne rosacea causes acne-like bumps, it is not actually acne but is still often mistaken for what people usually know as acne.
    Scientists are still uncertain what causes acne rosacea. However, the following are suspected of being risk factors or causes of rosacea:
    • a family history of rosacea
    • fair skin
    • an immune response to the bacterium Bacillus oleronius
    • personal history of Helicobacter pylori, a gut bacteria that can cause ulcers
    • a malfunction of a protein that normally protects the skin
    • reaction to the mites that live on everyone's skin

    Treatment and prevention of acne rosacea

  • Unlike acne vulgaris, there are no over-the-counter or home remedies that have been proven as effective in treating or preventing acne rosacea.
    As a result, a doctor will need to help a person treat their acne rosacea. This is typically done with medications, such as:
    • Brimonidine to reduce redness and swelling
    • antibiotics to help treat inflammatory acne
    • metronidazole acid
    • azelaic acid
    • isotretinoin
    Also, a doctor may suggest alternative therapies. These may include:
    • dermabrasion
    • massage
    • meditation
    • laser therapy
    • microdermabrasion
    In cases where a person has both acne vulgaris and acne rosacea, they should speak to their dermatologist about what is the best treatment plan. Typically, if both conditions occur together, a person should not use treatments for acne vulgaris unless directed to do so.
  • Takeaway

    Nose acne can be a nuisance when it develops on a person's face. Depending on the type, it can be easy to treat with both at-home, over-the-counter, and prescription medications. Following good facial hygiene can help prevent future outbreaks.

Monday, 19 February 2018

New blood test predicts autism with 92 percent accuracy By Ana Sandoiu

Researchers led by those from Warwick University in the United Kingdom have developed a diagnosis test for autism that may predict it with an unprecedented level of accuracy.
Autism spectrum disorder (ASD) is a condition that impacts cognition, behavior, and social interaction.
The Centers for Disease Control and Prevention (CDC) estimate that 1 in 68children have ASD.
Given its developmental nature, ASD may have an early onset, but it typically takes a while for the first symptoms to appear. As such, early diagnosis is not usually possible.
Therefore, a chemistry-based diagnosis test for the early detection of ASD may be crucial, enabling children to receive the care that they need much earlier on. Until now, no such test was available.
But an international team of researchers — led by Dr. Naila Rabbani, a reader of experimental systems biology at the University of Warwick — believes that it has designed tests that can accurately detect ASD-related protein changes in the blood and urine.
The findings were published in the journal Molecular Autism.

Tests yield 92 percent accuracy

Dr. Rabbani and her team collected and analyzed blood and urine samples from 38 children aged between 5 and 12 who had been diagnosed with ASD, as well as from 31 children who had not.
The researchers found chemical differences between children with ASD and neurotypical children — that is, children without ASD.
Specifically, the scientists found an association between ASD and damage to some proteins found in the blood's plasma, or the fluid that carries white and red blood cells.
Of the several blood and urine tests that the scientists developed, the most accurate one found that children with ASD had higher levels of a compound called dityrosine and another class of compounds called advanced glycation end-products (AGEs).
Dityrosine is a marker of oxidation damage, and AGEs are the result of glycation, which is a process wherein sugars combine with amino acids, the "building blocks of proteins."
Dr. Rabbani and colleagues then fed this information into a computer algorithm, which resulted in a diagnostic test with 92 percent sensitivity. Sensitivity refers to the ability of a medical test to accurately identify people who have a disease.

Will the test lead to earlier ASD diagnosis?

Dr. Rabbani comments on the significance of the findings, saying, "Our discovery could lead to earlier diagnosis and intervention. We hope the tests will also reveal new causative factors."
"With further testing we may reveal specific plasma and urinary profiles or 'fingerprints' of compounds with damaging modifications."
Dr. Naila Rabbani
"This may help us improve the diagnosis of ASD," she adds, "and point the way to new causes of ASD."
But Dr. Max Davie — an assistant officer for health promotion at the Royal College of Paediatrics and Child Health in the U.K. — has expressed skepticism about such a test, saying, "This is a promising area, however this is a very long way indeed from a 'test for autism.'"
He adds, "The analysis was derived from children whose ages averaged 7–8, so there is no data to indicate that very young children will have the same metabolic pattern and that the results found would be reproducible in infants."
"While we applaud the arrival of this interesting area of research," says Dr. Davie, "it is important that it is not adopted with too much enthusiasm." He cautions that applying the test to a large population may produce a large number of false positives, causing unnecessary worry.

Cutting back on carbs could help treat fatty liver disease By Honor Whiteman Fact checked by Jasmin Collier

Cutting down on pasta, potatoes, and other such carbohydrate-rich foods has become a popular plan for weight loss. However, according to a new study, a carb-restricted diet may offer other health benefits.
Researchers found that just 2 weeks of a carb-restricted diet reduced levels of liver fat and improved other markers of cardiometabolic health in a small number of individuals living with non-alcoholic fatty liver disease (NAFLD)
Study co-author Adil Mardinoglu, from the KTH Royal Institute of Technology in Sweden, and team recently published their results in the journal Cell Metabolism.
NAFLD is a condition characterized by an excess accumulation of fat in the liver. Unlike alcoholic fatty liver disease, NAFLD is not caused by heavy alcohol consumption.
Around 30–40 percent of adults in the United States are thought to have NAFLD, making it "one of the most common causes of liver disease" in the country.
Obesity and related health conditions, such as type 2 diabetes, are major risk factors for NAFLD. The condition has been identified in around 30–90 percent of people who are obese.
Adopting a healthful diet is considered key for treating NAFLD, and doctors normally recommend reducing the intake of fats.
The new study, however, suggests that lowering the consumption of carbohydratescould be another treatment strategy for NAFLD.

Liver fat metabolism improved

Mardinoglu and his colleagues enrolled 10 adults, all of whom were obese and had NAFLD, to their study.
For 2 weeks, the participants were put on an isocaloric diet that was restricted in carbohydrates but increased in protein. An isocaloric diet is one wherein the same amount of carbohydrates, proteins, or fats are consumed every day.
The team assessed how the dietary intervention affected the liver fat, as well as other metabolic responses, of the study participants.
The study revealed that the carb-restricted diet improved liver fat metabolism and led to "dramatic reductions" in liver fat over the 14-day study period.
The researchers also found that carbohydrate restriction led to a decrease in inflammatory markers, particularly interleukin-6 and tumor necrosis factor alpha — higher levels of which have been linked to greater NAFLD severity.
What is more, they found that the carb-restricted diet induced changes in gut microbiota that were associated with an increase in circulating levels of folate, which has been tied to improvements in liver fat metabolism.
Commenting on their results, the researchers write:
"[...] we showed that short-term intervention with an isocaloric low-carbohydrate diet with increased protein content promotes multiple metabolic benefits in obese humans with NAFLD."
That said, they caution that there is no one-size-fits-all approach when it comes to dieting, so a carb-restricted diet may not work for everyone with NAFLD.

Drinking soda daily may harm your fertility By David Railton Fact checked by Jasmin Collier

If you are trying to get pregnant, you might want to cut back on soda; a new study has found that it could reduce your chances of conceiving.
New research — which has now been published in the journal Epidemiology — finds that drinking one or more sugary drinks each day is linked to reduced fertility, for both men and women.
In the United States, infertility is experienced by around 15 percent of couples, with the annual cost of fertility treatments in the country equaling more than $5 billion.
If modifiable risk factors can be identified, then raising awareness of them may help to reduce the psychological stress and financial burden experienced by couples who are struggling to conceive.
Examples of modifiable risk factors for infertility might, for instance, include lifestyle factors such as diet.
However, the past half a century has seen a significant rise in the amount of added sugar in the average diet of a U.S. individual. One third of this total sugar intake comes from soda and other sugar-sweetened drinks, which are associated with weight gain and conditions such as type 2 diabetes.
Drinking soda is also tied to early menstruation and poor semen quality — although few studies have investigated the direct effects that soda may have on fertility.

Reduction in monthly chance of conception

To further investigate potential associations between drinking soda and infertility, researchers from Boston University School of Public Health in Massachusetts surveyed 3,828 women — all aged between 21 and 45 — and 1,045 of their male partners.
All of the participants lived in the U.S. or Canada and were a part of the Pregnancy Study Online web-based prospective cohort study.
The team collected data on the participants' medical history, lifestyle factors, and diet. The female subjects also completed follow-up questionnaires every 2 months until they either became pregnant or the 12-month follow-up period came to an end.
Evaluating their data, the researchers revealed that drinking soda was linked with a 20 percent reduction in the average monthly probability of conception for both men and women.
Women who drank at least one soda per day demonstrated a 25 percent lower monthly probability of conception, while men who drank at least one soda per day had a 33 percent lower probability of successfully conceiving with their partner.
Drinking energy drinks was tied to even greater reductions in fertility, but the study authors suggest that this result should be interpreted with caution, as the association was based on results from only a small number of participants.
The researchers did not find a strong association between infertility and drinking fruit juices or diet sodas.

To conceive, 'consider cutting back on sodas'

The authors explain that given the amount of sugary drinks consumed across the U.S., their findings may have important implications for public health.
"We found positive associations," says lead study author Elizabeth Hatch, who is a professor of epidemiology, "between intake of sugar-sweetened beverages and lower fertility, which were consistent after controlling for many other factors, including obesity, caffeine intake, alcohol, smoking, and overall diet quality."
"Couples planning a pregnancy might consider limiting their consumption of these beverages, especially because they are also related to other adverse health effects."
Elizabeth Hatch

Sunday, 18 February 2018

How can I get rid of milia? By Tom Seymour Reviewed by Karen Gill, MD

Milia are small, yellow or white cysts that appear in clusters, usually on the face. They are often found in newborns but can affect people of any age.
This article looks at different types of milia, their causes, and possible ways to get rid of them.

WhatHome remedies

In most cases, milia will disappear on their own within a few months.
A number of home remedies may help get rid of milia. While no specific remedy has been proven to remove milia quickly, these treatments are mostly low-risk.
For example:
  • Clean the affected area daily. Use a mild soap to prevent skin irritation.
  • Steam open the pores. This can be done by sitting in the bathroom and running a hot shower.
  • Exfoliate the area regularly. However, avoid over-exfoliating, as daily exfoliation can irritate the skin.
  • Use sunscreen. High-protection sunscreens may be especially helpful.
  • Using topical retinoidsTopical retinoids are creams or gels derived from vitamin A. While they are designed to treat acne and other skin issues, there is little evidence that they are effective in treating milia.
Some research suggests that extracts of rosecinnamon, and honey have antibacterial properties that can tackle some skin problems. However, there has been no research on their effectiveness with milia.
Avoid poking or picking milia. While it may be tempting, this interference increases the risk of infection and can lead to scarring.

Medical treatments

 are milia?

Milia are small, bump-like cysts found under the skin. They are usually 1 to 2 millimeters(mm) in size.
They form when skin flakes or keratin, a protein, become trapped under the skin.
Milia most often appear on the face, commonly around the eyelids and cheeks, though they can occur anywhere.
If milia are causing concern, certain clinical treatments have been used to try and remove them. These include:
  • De-roofing. A doctor uses a sterile needle or blade to remove the milia. Do not attempt this at home, as you can run the risk of infection.
  • Curettage. A doctor numbs the area, removes the milia, then seals the skin with a hot wire.
  • Cryotherapy. The milia are frozen off, often with liquid nitrogen. This can cause blistering or swelling, which should disappear within a few days.
  • Minocycline. This oral antibiotic can be helpful in treating certain types of milia, such as milia en plaque.
All of these treatments carry a risk of scarring, except for minocycline, which has other risks. Since milia themselves do not cause scarring, think carefully before undergoing these treatments.

Prevention

It is not always possible to prevent milia, for example, when they occur in newborns.
However, when milia are associated with other skin conditions or injuries, swift treatment may keep them from appearing.
Tips for preventing milia include:
  • avoiding excessive exposure to the sun
  • avoiding the use of thick creams or oil-based products
  • exfoliating between 2 and 3 times a week
Milia can sometimes arise following a chemical peel. It may be possible to prevent their occurrence by applying a topical retinoid before the procedure. However, retinoids can cause dark spots or excessive irritation when used in combination with chemical peels.

Types and causes

Neonatal milia

Milia affect up to 50 percent of all newborns. They usually disappear on their own within a few weeks.
Neonatal milia are often found on the nose, but may appear on the scalp, face, upper trunk, and inside the mouth.
These bumps can be confused with neonatal acne. The white bumps of neonatal acne vary in size, and are often surrounded by redness, while milia are generally uniform in size, with no redness.
Milia may be present from birth, while neonatal acne usually does not appear until 2 weeks after birth.

Primary milia

Primary milia occur in children and adults. While they may disappear without treatment in a few weeks, they can also last for several months.
Primary milia often appear on the following body parts:
  • eyelids
  • cheeks
  • forehead
  • genitals
They may also appear along the nasal crease in young children.

Milia en plaque

In this condition, multiple milia are clumped together in a broad, flat patch raised above the surrounding skin. This patch or plaque often has a clear and defined border.
Milia en plaque can affect children and adults, particularly middle-aged women. It is usually found on the eyelids, behind the ears, and on the cheek or jaw.
This condition is rare and occasionally associated with other skin issues, including:

Multiple eruptive milia

This rare type of milia involves numerous bumps appearing in the same area over several weeks or months. This is often the only symptom, though the area may also feel itchy.
Multiple eruptive milia tend to appear on the face, upper arms, and upper trunk.

Traumatic milia

Also known as secondary milia, this condition follows injury to the skin, which may involve:
  • a burn
  • blistering from a skin condition or allergic reaction
  • skin resurfacing procedures, such as dermabrasion or laser resurfacing
  • excessive exposure to sunlight

Milia associated with medication

Certain topical medications, including some steroid creams, may cause milia to appear.

Risk factors

Milia carry very few risks.
When milia are associated with another condition or injury, that condition should be treated separately.
It is important that milia are correctly diagnosed. They can be confused with other types of skin conditions, including comedones, miliaria, and other types of cysts.
When milia are a concern, discuss treatment with a doctor.

Outlook

Milia tend not to cause long-term problems. The outlook is very good, and most cases will resolve without treatment in several weeks.
The bumps may disappear faster in newborns than in children and adults.
If milia do not disappear within a few weeks, a doctor may be able to recommend treatment options.

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