Miliaria (Prickly Heat)

Miliaria (Prickly Heat)

This common condition is most frequently seen in service members who have been recently put in hot, humid environments.  The trunk is commonly involved.  Wearing occlusive clothing and military gear further exacerbates the effects of the climate.  As a result, the patient does not sweat onto the skin.  Instead, he or she sweats "into" the skin.

The most common form seen in the deployed military population is little discrete pink to red itchy papules on the trunk.  Besides being a nuisance, the presence of miliaria reduces the service member's ability to cope with heat stress.

Removal of the occlusive clothing, thereby allowing the skin to air is effective yet simple.  The use of calamine lotion with 1 %  hydrocortisone as a shake lotion is effective for relief of symptoms.  The good news is that most personnel will spontaneously resolve after acclimatization.  


Milaria

Written and revised by CAPT Dennis A. Vidmar, MC, USN, Department of Military and Emergency Medicine, and Department of Dermatology, Uniformed Services University of the Health Sciences, Bethesda, MD (1999).

*Additional images provided by CAPT Vidmar in June, 2000, subsequent to the initial publication of this manual.

Preface  ·  Administrative Section  ·  Clinical Section

The General Medical Officer Manual , NAVMEDPUB 5134, January 1, 2000
Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300

This web version of The General Medical Officer Manual, NAVMEDPUB 5134 is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy version, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified. This formatting © 2006 Medical Education Division, Brookside Associates, Ltd. All rights reserved.

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