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Clinical Feature of Miliaria
Clinical Feature of Miliaria
Clinical Feature of Miliaria
There are 3 types of miliaria; miliaria crystalline, miliaria rubra, and miliaria
profunda. There are several differences of each type.
a. Miliaria Crystallina
Miliaria crystalina usually affect neonates with age younger than 2 weeks
and adult who are febrile or recently moved to a place with topical climate.
The lesion appear in several days to weeks by sun weather exposure and
disappear in hours to days. Mostly miliarias crystalline are asymptomatic.
Clinical manifestation:
b. Miliaria Rubra
This type of miliaria usually can be found in neonates’ age 1-3 years old
and adult who life in place with hot weather and humid. Lesion can be
occur several days after hot condition expose but more disposed to occur
in several months after exposure of hot and humid condition. The lesion
will disappear after the patient is removed from hot and moist
environment. Lesion cause intense pruritus and stinging that is exacerbated
by fever, heat, or exertion. Patient may report fatigue and heat intolerance,
and decreased or absent sweating at the affected site.
Clinical manifestation:
- Lesions are uniform, small, erythematous papules and vesicular
papules on a background of erythema.
- Lesions occur in a nonfollicular distribution and do not become
confluent.
- In infants, lesions occur on the neck and in the groin and axillae.
- In adults, lesions occur on covered skin where friction occurs; these
areas include the neck, scalp, upper part of the trunk, and flexures. The
face and volar areas are spared.
- Lesions may occur in erythematous patches similar to sunburn.
- In late stages, anhidrosis is observed in affected skin.
c. Miliaria Profunda
This type mostly happened in someone who life in tropical country and has
recurrent episode of miliaria rubra. Lesion develop within minutes or
hours after stimulation of sweating. These lesion resolve quickly, usually
in less than a hour after the stimulus that cause sweating is removed.
Mostly the lesions are asymptomatic. Patients may report increased
sweating in unaffected skin; swollen lymph nodes; hyperpyrexia; and
symptoms of heat exhaustion, which include dizziness, nausea, dyspnea,
and palpitations.
Clinical manifestation: