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Miliaria
Miliaria
Similar pathophysiology to Milia, but these 2 conditions are not the same 3. Epidemiology 1. Incidence: 40% of newborns 4. Types: Common 1. Miliaria crystallina (Miliaria alba, miliaria sudamina) 1. Sweat infiltrates below Stratum Corneum 2. Vessicles 1-2 mm without surrounding erythema on head, neck and trunk 1. Noninflammatory Vesicles resemble water droplets 2. Each vessicle ruptures and then desquamates and resolves within days 2. Miliaria rubra (heat rash, default type of miliaria) 1. Sweat infiltrates deeper, below Epidermis 1. Inflammation associated with Sweat Gland obstruction 2. Pruritic erythematous Papules and Vesicles on covered (overheated) skin 5. Types: Other 1. Apocrine miliaria (Fox-Fordyce Disease) 2. Miliaria profunda 1. Limited to hot, humid climates 2. Follows severe miliaria rubra 6. Signs 1. Papulovesicular lesions 2. Distributed in intertriginous areas and occluded areas 7. Differential Diagnosis 1. See Neonatal Pustules and Vessicles 8. Management
1. Resolves spontaneously in first few months of life 2. No treatment is needed 3. Avoid Occlusion and excessive heat 1. Avoid over-dressing 2. Consider cool baths (avoid prolonged exposure due to Hypothermia) 3. Stay in cool air conditioned environments 9. References 1. Feng (1995) Cutis 55:213 2. O'Connor (2008) Am Fam Physician 77:47
Spanish
Other specified sweat gland disorders (C0157735), Miliaria Parent (C0026113), Disorder of apocrine gland (C0406488), Duplicate concept Concepts (C1274013) Sources DXP, ICD9CM, MSH, MTH, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)
Miliaria (C0026113)
Definitio A syndrome of cutaneous changes associated with sweat retention and n (MSH) extravasation of sweat at different levels in the skin. Miliaria rubra, or prickly heat, results from apocrine duct obstruction. The sweat then
seeps into the epidermis, producing pruritic erythematous papulovesicles. (From Dorland, 27th ed) Concepts Disease or Syndrome (T047) MSH English Spanish D008883 Miliaria miliaria
Sweat Gland Diseases (C0038986), SKIN INFECTION/INFLAMMATION Parent (C0549663), Syndrome (C0039082), Disease of Skin and Appendages Concepts (C0037272), skin disorder (C0037274), Duplicate concept (C1274013) Sources COSTAR, CSP, CST, MSH, MTH, NCI, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)
Sweat Gland Diseases (C0038986), Miliaria (C0026113), Skin disorder Parent due to physical agent AND/OR foreign substance ( C0458392), Concepts Ambiguous concept (C1274012), Duplicate concept (C1274013) Sources COSTAR, ICD9CM, MSH, MTH, MTHICD9, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)
Miliaria (C0026113), Duplicate concept (C1274013) SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)