Milia-Like Idiopathic Calcinosis Cutis: When Waiting Is the Best Option

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A 6-month-old boy was referred to our department for the presence of diffuse multiple whitish, pseudomilia-like papules on the skin of the extremities since birth. The patient was well-appearing, and afebrile, with normal vital signs. The examination revealed multiple, yellow-white, firm, small, subcutaneous nodules and papules (Figure 1, A-C). The lesions were present only on the extremities, arms and legs. The lesions were in different stages, with a precise evolution process toward extrusion of a whitish material, erosion and healing (Figure 1, A).

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