Resumo
Definition
History and exam
Key diagnostic factors
- 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)
Other diagnostic factors
- desquamative healing (crystallina)
- weakness and malaise (profunda)
- dyspnea (profunda)
- tachycardia (profunda)
- hyperpyrexia (profunda)
Risk factors
- 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
Diagnostic tests
Tests to consider
- Tzanck smear
- viral direct fluorescent antibody (DFA) or culture
- viral polymerase chain reaction
- bacterial culture
- fungal culture
- potassium hydroxide (KOH) prep
- skin biopsy
Treatment algorithm
all patients
Contributors
Authors
Brian L. Swick, MD
Clinical Professor
Departments of Dermatology and Pathology
Iowa City Veterans Affairs Medical Center
Iowa City
IA
Disclosures
BLS declares that he has no competing interests.
Peer reviewers
Hobart W. Walling, MD, PhD
Dermatology Physician
Town Square Dermatology
Coralville
IA
Declarações
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
Declarações
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
Declarações
ADL declares that he has no competing interests.
Créditos aos pareceristas
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Declarações
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Referências
Principais artigos
Wenzel FG, Horn TD. Nonneoplastic disorders of the eccrine glands. J Am Acad Dermatol. 1998 Jan;38(1):1-17; quiz 18-20. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
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