Dermatology Book

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Miliaria

Aka: Miliaria, Miliaria rubra, Miliaria alba, Miliaria sudamina, Apocrine miliaria, Miliaria crystallina, Miliaria Profunda, Heat rash, Lichen tropicus, Prickly heat, Fox-Fordyce Disease
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  1. See Also
    1. Newborn Skin Exam
  2. Pathophysiology
    1. Sweat retention when Eccrine Glands partially close
    2. 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 (over-heated) 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 55:213-6
    2. O'Connor (2008) Am Fam Physician 77:47-52

Miliaria profunda (C0263468)

Concepts Disease or Syndrome (T047)
ICD10 L74.2
SnomedCT 201193001, 47317002
English Mamillaria, miliaria profunda (diagnosis), miliaria profunda, Miliaria profunda, Miliaria profunda (disorder), miliaria; profunda, profunda; miliaria
Dutch miliaria profunda, miliaria; profunda, profunda; miliaria, Miliaria profunda
French Miliaire profonde
German Miliaria profunda
Italian Miliaria profonda
Portuguese Miliária profunda
Japanese 深在性汗疹, シンザイセイカンシン
Spanish Miliaria profunda, miliaria profunda (trastorno), miliaria profunda
Czech Potničky hluboké
Korean 심재성 땀띠
Hungarian Miliaria profunda
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Miliaria Rubra (C0162423)

Concepts Disease or Syndrome (T047)
MSH D008883
ICD9 705.1
ICD10 L74.0, L74.1, L74.2
SnomedCT 267813002, 201190003, 156415007, 201194007, 201197000, 44279002, 72658003
English Prickly Heat, HEAT RASH, Heat, Prickly, MILIARIA RUBRA, Heat Rash, Miliaria, crystalline, Prickly heat NOS, Miliaria Rubra, heat rash (diagnosis), heat rash, miliaria crystallina (diagnosis), miliaria crystallina, Miliaria rubra (disorder), (Heat rash) or (sudamina) or (sweat rash) or (prickly heat - miliaria) (disorder), Prickly heat NOS (disorder), miliaria rubra, Rash;heat, Rash;sweat, Miliaria rubra, Prickly heat, Heat rash, Miliaria crystallina, Miliaria tropicalis, Sudamina, Sweat rash, Miliaria crystallina (disorder), Prickly heat (disorder), prickly heat, crystallina; miliaria, heat; rash, miliaria; crystallina, miliaria; rubra, miliaria; tropicalis, rash; heat, rubra; miliaria, sudamen, tropicalis; miliaria, Prickly heat - miliaria, (Heat rash) or (sudamina) or (sweat rash) or (prickly heat - miliaria), sweat rash
Italian Eruzione da calore, Esantema da sudore, Miliaria cristallina, Miliaria, Miliaria rubra
Dutch zweetrash, miliaria rubra, miliaria cristallina, stekende hitte, cristallina; miliaria, hitte; uitslag, miliaria; cristallina, miliaria; rubra, miliaria; tropicalis, rubra; miliaria, tropicalis; miliaria, uitslag; hitte, Miliaria cristallina, hitterash, Miliaria rubra
French Miliaria rubra, Rash de transpiration, Eruption sudorale, Miliaire cristalline, Miliaire rouge, CHALEUR CUTANEE, Démangeaison à la chaleur, Miliaria Rubra, Éruption sudorale
German Schweissflechte, Miliaria crystallina, Miliaria rubra, HITZEAUSSCHLAG, Miliaria cristallina, Hitzeausschlag, Lichen tropicus
Portuguese Miliária cristalina, Calor com picadas, Erupção cutânea pelo suor, Miliária rubra, Miliária Rubra, ERUPCAO PELO CALOR, Erupção pelo calor
Spanish Miliaria cristalina, Fiebre miliar, Heat rash, Sweat rash, Prickly heat - miliaria, Sudamina, (Heat rash) or (sudamina) or (sweat rash) or (prickly heat - miliaria), Miliaria rubra, Miliaria Rubra, ERUPCION POR CALOR, miliaria cristalina, miliaria rubra (trastorno), miliaria rubra, miliaria tropical, rash por calor, salpullido por calor, SAI (trastorno), salpullido por calor, SAI, salpullido por calor, sarpullido por calor, sudamina (trastorno), sudamina, Eritema por calor
Japanese 汗疹, 紅色汗疹, 水晶様汗疹, スイショウヨウカンシン, カンシン, コウショクカンシン
Czech miliaria rubra, Potničky červené, Hluboké potničky, Potničky, Potničky čiré
Korean 수정양 땀띠, 홍색 땀띠
Hungarian Hőkiütés, Verejték kiütés, Miliaria crystallina, Miliaria rubra, Hő-exanthema
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Fox Fordyce disease (C0016632)

Definition (NCI) A chronic inflammatory skin disorder characterized by pruritic papular eruptions in areas with apocrine glands. It usually affects the axillae bilaterally. There is rupture of the apocrine ducts resulting in inflammation and formation of the papular skin lesions.
Definition (MSH) Chronic pruritic disease, usually in women, characterized by small follicular papular eruptions in APOCRINE GLANDS areas. It is caused by obstruction and rupture of intraepidermal apocrine ducts.
Concepts Disease or Syndrome (T047)
MSH D005588
ICD9 705.82
ICD10 L75.2
SnomedCT 254682006, 65038009
English Chronic itching papular eruption of axillae and pubes, Fox Fordyce Disease, Fox-Fordyce Disease, Disease, Fox-Fordyce, Miliaria, Apocrine, Apocrine Miliaria, FOX-FORDYCE DISEASE, MILIARIA, APOCRINE, FOX FORDYCE DIS, Fox-Fordyce disease (diagnosis), Fox Fordyce disease (disorder), Fox-fordyce disease, Fox-Fordyce Disease [Disease/Finding], Syndrome, Fox-Fordyce, Fox-Fordyce Syndrome, Fox Fordyce Syndrome, fordyce disease fox, fox-fordyce disease, apocrine miliaria, fox fordyce disease, miliaria apocrine, Apocrine miliaria, Fox-Fordyce disease, Chronic itching papular eruption of axillae AND/OR pubes, Fox-Fordyce disease (disorder), Fox, Fordyce-Fox, miliaria; apocrine, apocrine; miliaria, Fox Fordyce disease
Italian Miliaria apocrina, Malattia di Fox-Fordyce
Dutch ziekte van Fox-Fordyce, apocrien; miliaria, miliaria; apocrien, Apocriene miliaria, apocriene miliaria, Apocriene milaria, Fox-Fordyce-ziekte, Milaria, apocriene, Ziekte, Fox-Fordyce-
French Maladie de Fox-Fordyce, Miliaire apocrine, Fox Fordyce, maladie
Japanese フォックス・フォアダイス病, アポクリンカンシン, フォックスフォアダイスビョウ, フォックス・フォアダイス病, Fox-Fordyce病, フォックス・フォーダイス病, アポクリン汗疹, フォックス-オーアダイス病, フォックス-フォーダイス病, 汗疹-アポクリン
Swedish Fox-Fordyces sjukdom
Czech Foxova-Fordyceova nemoc, Apokrinní potničky, Fox-Fordyceova nemoc
Spanish Fox Fordyce disease, enfermedad de Fox - Fordyce (trastorno), enfermedad de Fox - Fordyce, erupción papulosa pruriginosa crónica de axila Y/O pubis, erupción papulosa pruriginosa crónica de axila y pubis, miliaria apocrina, Miliaria apocrina, Enfermedad de Fox-Fordyce, Miliaria Apocrina
Finnish Fox-Fordycen tauti
Russian FOKSA-FORDAISA BOLEZN', ФОКСА-ФОРДАЙСА БОЛЕЗНЬ
German Apokrine Miliaria, apokrine Miliaria, Fox-Fordyce-Krankheit, Milaria, apokrine
Korean 아포크린 땀띠
Croatian FOX-FORDYCEOVA BOLEST, MILIARIA APOCRINIS
Polish Choroba Foxa-Fordyce'a
Hungarian Fox-Fordyca állapot, Apocrin miliaria
Portuguese Miliária apócrina, Doença de Fox-Fordyce, Miliária Apócrina
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Miliaria (C0026113)

Definition (MSH) A syndrome of cutaneous changes associated with sweat retention and 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 D008883
ICD10 L74.3
SnomedCT 201196009, 201411009, 63951004
English Miliaria, MILIARIA, Miliaria, NOS, Miliaria, unspecified, [X]Miliaria, unspecified, miliaria, miliaria (diagnosis), [X]Miliaria, unspecified (disorder), Miliaria [Disease/Finding], heat rash, sweat rash, Miliaria (disorder)
French MILIAIRE, Miliaire
Portuguese MILIARIA, Miliária, Brotoeja
Spanish MILIARIA, [X]Miliaria, unspecified, (X)erupción miliar, no especificada, [X]miliaria, no especificada, [X]miliaria, no especificada (trastorno), miliaria (trastorno), miliaria, Miliaria
German MILIARIA, Miliaria, nicht naeher bezeichnet, Miliaria, Dermatitis hidrotica, Hidroa, Sudamen
Dutch miliaria, Miliaria, niet gespecificeerd, Miliaria
Swedish Miliaria
Japanese カンシン, 紅色汗疹, 粟粒疹, あせも, 汗疹
Czech miliaria, potničky, Potničky, sudamina
Finnish Miliaria
Russian POTNITSA, POTNITSA KRASNAIA, ПОТНИЦА, ПОТНИЦА КРАСНАЯ
Korean 상세불명의 땀띠
Croatian Not Translated[Miliaria]
Polish Potówki
Hungarian Miliaria
Italian Miliaria
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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