Miliaria is a benign, transient disorder caused by occulusion in the eccrine duct. Dermatologist in Delhi subdivid into miliaria rubra, miliaria crystallina, and miliaria profunda, based on the level of obliteration. Miliaria rubra (‘prickly heat’) is very common complaint to the Dermatologists and among all variety, the most common, presenting as numerous pruritic non-follicular papules or vesicles with surrounding erythema. The obstruction occurs within the eccrine duct in the startum malpighii. Typically it occurson the trunk, neck, or back, but can affect other areas and has been reported to occur under splints or braces because of the warm occlusive enviroment. Miliaria crystallina, the most superficial form (sudamina), occurs with occusion of the sweat duct in the stratum corneum. Skin specialist says It is self limited and typically apears as clear vesicles without significant erythema. Miliaria profunda is more uncommon, the occlusion occurring at the dermoepidermal junction or dermis. Miliaria profunda is typically seen after repeated cases of miliaria rubra in tropical settings. These patients can also have associated systemic symptoms relates to overheating. Skin specialist in Delhi works on it to control it with simple medications.
Specific Investigations
- None usually required
In Atypical Cases
- Microbiology – swab for bacteria and yeasts
- Histology
Dermatologist Therapy at Skin n laser centre
- Prevention
- Frequent showering
- Cornstarch powder
- Air conditioning
- Oatmeal baths
- Topical antiseptics
- Antipyretics