小结
定义
病史和体格检查
关键诊断因素
- nonfollicular vesicles and papules (all types)
- asymptomatic eruption (crystallina)
- clear noninflammatory vesicles (crystallina)
- fragile vesicles (crystallina)
- paroxysmal pruritus and stinging (rubra)
- erythematous papulovesicles (rubra)
- anhidrosis (profunda)
- compensatory hyperhidrosis (profunda)
- flesh-colored papules (profunda)
其他诊断因素
- desquamative healing (crystallina)
- weakness and malaise (profunda)
- dyspnea (profunda)
- tachycardia (profunda)
- hyperpyrexia (profunda)
危险因素
- profuse sweating
- excessive heat and humidity
- occlusive clothing
- febrile illness
- repeat episodes of miliaria rubra (for miliaria profunda)
- ultraviolet light exposure
- neonatal age
- cholinergic medications
- isotretinoin
- doxorubicin
- staphylococcal scalded skin syndrome
- atopic dermatitis
诊断性检查
需考虑的检查
- Tzanck smear
- viral direct fluorescent antibody (DFA) or culture
- viral polymerase chain reaction
- bacterial culture
- fungal culture
- potassium hydroxide (KOH) prep
- skin biopsy
治疗流程
all patients
撰稿人
作者
Brian L. Swick, MD
Clinical Professor
Departments of Dermatology and Pathology
Iowa City Veterans Affairs Medical Center
Iowa City
IA
利益声明
BLS declares that he has no competing interests.
同行评议者
Hobart W. Walling, MD, PhD
Dermatology Physician
Town Square Dermatology
Coralville
IA
利益声明
HWW declares that he has no competing interests.
John English, MBBS, FRCP
Consultant Dermatologist
Department of Dermatology
Queen's Medical Centre
Nottingham University Hospitals
Nottingham
UK
利益声明
JE declares that he has no competing interests.
Andrew D. Lee, MD, FAAD
Consultant Dermatologist
Yadkin Valley Dermatology
Affiliate of Hugh Chatham Memorial Hospital
Elkin
NC
利益声明
ADL declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Wenzel FG, Horn TD. Nonneoplastic disorders of the eccrine glands. J Am Acad Dermatol. 1998 Jan;38(1):1-17; quiz 18-20. 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Fox-Fordyce disease (apocrine miliaria)
- Primary varicella infection
- Disseminated varicella-zoster infection
更多 鉴别诊断
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明