Miliaria

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Background

  1. Pruritic, maculopapular, erythematous rash over normally clothed areas of body
Miliaria

Pathophysiology

  1. Acute inflammation of sweat ducts caused by blockage of pores by macerated skin
    1. Ducts become dilated under pressure and ultimately rupture
      1. This produces superficial vesicles in malpighian layer of skin on a red base
        1. 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