Multiple miliary osteoma cutis: treatment with CO2 laser and hook

Abstract

Miliary osteoma cutis refers to the variant of morphologically normal bone formation disorder in the dermis or subcutaneous tissue. The etiology of miliary osteoma cutis is still uncertain. But it may be due to osteoblastic metaplasia of mesenchymal elements. In our case, a healthy 55-year-old woman presented with multiple, skin-colored, non-tender, firm papules measuring 1 to 3 mm in diameter disseminated over the both cheeks for 3 years. We treated her with carbon dioxide (CO2) laser extraction with the hook through a small hole and patient had dramatic response to quick and simple treatment modality.