A 23-yr-previous feminine with no recognized previous healthcare heritage offered with a rash concentrated on her legs, with a handful of areas on her arms and chest. The rash began the day before presentation when she turned overheated whilst wearing sweatpants in 104°F weather. The rash was mildly pruritic but not painful. She denied any prior response to her sweatpants that she has experienced for many months. She denied any new soap or cosmetic use, prior rash, allergy, or medicine use. Her evaluate of units and earlier professional medical historical past ended up damaging.
Contents
Added Pictures
Bodily Exam
Vitals: Regular
Skin: An erythematous papular rash is concentrated and symmetric on her lower extremities. There are a number of sparse lesions on her arms, thorax, and abdomen with sparing of the palms, soles, and face. No pustules or vesicles are observed. There is no scale or crust. No other skin lesions are existing. The relaxation of the evaluation is typical.
Laboratory Info
Non-contributory
Situation Question: What is the diagnosis?
Miliaria, or prickly warmth (warmth rash).
Miliaria, also recognized as prickly warmth or warmth rash, is brought about by blocked eccrine sweat glands and ducts. Publicity to warmth with sweating will cause eccrine sweat to pass into the dermis or epidermis producing a rash. It is popular in warm and humid climates for the duration of the summertime months. It can have an affect on up to 30% of grown ups dwelling in sizzling and humid problems. It may well present as vesicles, papules, or pustules relying on the depth of the eccrine gland obstruction. In adults the rash is most likely noticed in which apparel rub on the skin. Infants and children ordinarily have lesions on the higher trunk, neck, and head. Miliaria is a clinical analysis. Treatment involves measures to minimize perspiring and exposure to warm and humid problems. Air conditioning and the reduced humidity of indoor environments are useful. If sizeable irritation is current with pruritis, some improvement can be observed with .1% triamcinolone topically, however ointment ought to be averted and only cream or lotion used.
Scenario Dialogue
Acquire-Property Details
- Miliaria, or prickly warmth, is induced by sweating and blocked eccrine sweat glands.
- Treatment method requires retreating to interesting, indoor environments.
- Triamcinolone .1% product or lotion may lower pruritis.
References
- Guerra KC, Toncar A, Krishnamurthy K. Miliaria. 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing 2024 Jan–. PMID: 30725861.
Copyright
Images and instances from the Modern society of Educational Unexpected emergency Medication (SAEM) Scientific Images Exhibit at the 2023 SAEM Once-a-year Meeting | Copyrighted by SAEM 2023 – all legal rights reserved. Watch other conditions from this Medical Graphic Sequence on ALiEM.
Author data
Walter L Environmentally friendly, MD
Professor
Emergency Medicine
University of Texas Southwestern
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The publish SAEM Medical Visuals Collection: Crimson Rash on My Legs appeared to start with on ALiEM.