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.,
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