Miliaria rubra

Deba P Sarma, MD Omaha

F 34, erythematous blistering rash, both feet

Miliaria is a common disorder of the eccrine sweat glands often occurring in conditions of increased heat and humidity. Miliaria is caused by blockage of the sweat ducts resulting in the leakage of eccrine sweat into the epidermis or dermis. Three types of miliaria are classified according to the level at which obstruction of the sweat duct occurs. A. Miliaria crystallina, ductal obstruction is most superficial, occurring in the stratum corneum. Clinically, this form of the disease produces tiny, fragile, clear vesicles. B. Miliaria rubra, obstruction occurs deeper within the epidermis and results in extremely pruritic erythematous papules. C. Miliaria profunda, ductal obstruction occurs at the dermal-epidermal junction. Sweat leaks into the papillary dermis and produces subtle asymptomatic flesh-colored papules.

Master your semester with Scribd & The New York Times

Special offer for students: Only $4.99/month.

Master your semester with Scribd & The New York Times

Cancel anytime.