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Miliaria Rubra

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Miliaria rubra is a papulovesicular eruption of eccrine sweat glands that often occurs in high heat and humidity.

  • Miliaria is also known as “sweat rash,” “prickly heat,” or “heat rash...

DIAGNOSIS

HISTORY

  • Rash appear after person has been in a hot, humid environment that causes sweating.

  • Rash appears as small 1 to 3 mm, erythematous, nonfollicular papules and/or papulovesicles on the up...

TREATMENT

GENERAL MEASURES

  • Avoid wearing heavy, tight clothing or garments that may cause friction.

  • Avoid plastic or occlusive dressings/garments in hot environments.

  • Avoid excessive use of soap and cont...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Avoid vigorous activity that causes excessive sweating. 

PROGNOSIS

Avoiding causative agent helps early recovery. 

COMPLICATIONS

  • Secondary bacterial infections

  • Miliari...

REFERENCES

1
Carter RIII, Garcia AM, Souhan BE. Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series. J Med Case Rep.  2011;5:474. [...

CODES

ICD10

L74.0 Miliaria rubra 

ICD9

705.1 Prickly heat 

SNOMED

  • 72658003 Prickly heat

  • 402822004 Miliaria rubra, infantile (disorder)

CLINICAL PEARLS

  • Miliaria is most common in the pediatric age group.

  • Topical mild steroid creams may be used to reduce symptoms.

  • Avoiding hot and humid temperature is helpful in prevention and treatment.

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