Miliaria: Difference between revisions

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==Background==
==Background==
#Pruritic, maculopapular, erythematous rash over normally clothed areas of body
*Also known as ''lichen tropicus, rubra, prickly heat''
*Pruritic, maculopapular, erythematous rash over normally clothed areas of body
[[Image:Miliaria.jpg|thumbnail|Miliaria]]  
[[Image:Miliaria.jpg|thumbnail|Miliaria]]  


===Pathophysiology===
===Pathophysiology===
#Acute inflammation of sweat ducts caused by blockage of pores by macerated skin
*Acute inflammation of sweat ducts caused by blockage of pores by macerated skin
##Ducts become dilated under pressure and ultimately rupture
*Ducts become dilated under pressure and ultimately rupture
###This produces superficial vesicles in malpighian layer of skin on a red base
*This produces superficial vesicles in malpighian layer of skin on a red base
####May progress to miliaria profunda (white papules) if duct ruptures a second time
*May progress to miliaria profunda (white papules) if duct ruptures a second time


==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 00:59, 26 August 2015

Background

  • Also known as lichen tropicus, rubra, prickly heat
  • Pruritic, maculopapular, erythematous rash over normally clothed areas of body
Miliaria

Pathophysiology

  • Acute inflammation of sweat ducts caused by blockage of pores by macerated skin
  • Ducts become dilated under pressure and ultimately rupture
  • This produces superficial vesicles in malpighian layer of skin on a red base
  • May progress to miliaria profunda (white papules) if duct ruptures a second time

Differential Diagnosis

Environmental heat diagnoses

Treatment

  1. Antihistamines
  2. Dicloxacillin or erythromycin if appears superinfected

See Also

Source

Tintinalli