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Miliaria is a very common skin condition in newborns. The pores of their immature sweat glands plug easily, leading to tiny pink bumps or water blisters.
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
Dorland, 27th ed) Concepts Disease or Syndrome (T047) ICD9 MSH English 705.82 D005588 Apocrine miliaria, Chronic itching papular eruption of axillae and pubes, Chronic itching papular eruption of axillae AND/OR pubes, FOX FORDYCE DIS, Fox Fordyce Disease, Fox-Fordyce Disease enfermedad de Fox - Fordyce, erupcion papulosa pruriginosa cronica de axila y pubis, erupcion papulosa pruriginosa cronica de axila Y/O pubis, miliaria apocrina
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)
A syndrome of cutaneous changes associated with sweat retention and extravasation of sweat at different levels in the skin. Miliaria rubra, or Definitio prickly heat, results from apocrine duct obstruction. The sweat then n (MSH) 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)