DEPARTEMENT OF DERMATOVENEREOLOGY

MEDICAL FACULTY REFERAT

HASANUDDIN UNIVERSITY JULI 2014
MILIARIA

BY :

Fani Yustia (110 210 0017)

Nur Asti Apriani (110 209 0146)

ADVISOR :
dr. Heruni Amalia

SUPERVISOR :
dr. Anni Adriani, Sp. KK

PRESENTING AS A TASK ON CLERKSHIP

DEPARTMENT OF DERMATOVENEREOLOGY
HASANUDDIN UNIVERSITY
MAKASSAR
2014
 DEFINITION

Miliaria is the retention of sweat as a

result of occlusion of eccrine sweat ducts.
 EPIDEMIOLOGY

 most common in children

 adults who live or work in very hot, humid

environments

 no racial or sex predisposition

 No systemic diseases
 ETIOLOGY

obliteration or disruption of the eccrine sweat duct

 miliaria crystallina  the obstruction is very

superficial within the stratum corneum

miliaria rubra  keratinization of the

intraepidermal part of the sweat duct

miliaria profunda  rupture of the duct at the

level of or below the dermal–epidermal junction.
 PATHOGENESIS
unknown

The first opinion  the blockage of

keratin at the sweat glands

The second opinion  high sweat

sodium levels produce damage of the
ecrine ducts
 DIAGNOSTIC

a. Miliaria Crystalina
accumulation of sweat
under the stratum
corneum

Clear, thin – walled

vesicles, 1 -2 mm in
diameter, without
inflamatory and usually
symptomless. Miliaria Crystalina
b. Miliaria Rubra (prickly
heat)
pruritic inflammatory
papules around the sweat
pores

Some of the eruptions of

miliaria rubra become
pustular, resulting in
miliaria pustulosa Miliaria Rubra
c. Miliaria Profunda
 thesweat leaks into the deeper
dermis
 repeated attacks of miliaria
rubra
 firm papules 1–3 mm across
 no itching or discomfort from
the lesions
Miliaria Profunda
d. Miliaria pustulosa
 preceded by another dermatitis
 The pruritic pustules occur most
frequent:
• the intertiginous areas
• flexure surfaces of the extremities
• scrotum
• hack of bedridden patients. Miliaria pustulosa
 DIFFERENTIAL DIAGNOSIS

Folliculitis Candidiasis Lichen planus

 TREATMENT

a. General Measures
 Avoid any circumstance that provokes
sweating

 Clothing should be light, loose, and

absorbent to wick moisture away from
the skin surface.
b. Topical
 Anhydrous lanolin
 Hydrophilic ointment
 Benzoyl peroxide lotion
 Calamine lotion
 Isotretinoin
c. Systemic
Systemic antibiotic should be used where
there is clear evidence of secondary infection

Oral ascorbic acid 500 mg twice daily

 PREVENTION

 Prevented by avoiding activities that induce

sweating
 For the very susceptible person, a move away
from tropical climates may be essential
 Clothing should be light, loose, and absorbent
to wick moisture away from the skin surface.
THANK YOU