Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- vesículas e pápulas não foliculares (todos os tipos)
- erupção assintomática (cristalina)
- vesículas transparentes não inflamatórias (cristalina)
- vesículas frágeis (cristalina)
- prurido paroxístico e ardor (rubra)
- papulovesículas eritematosas (rubra)
- anidrose (profunda)
- hiperidrose compensatória (profunda)
- pápulas cor da pele (profunda)
Other diagnostic factors
- cicatrização descamativa (cristalina)
- fraqueza e mal-estar (profunda)
- dispneia (profunda)
- taquicardia (profunda)
- hiperpirexia (profunda)
Risk factors
- sudorese profusa
- calor e umidade excessivos
- roupas oclusivas
- doença febril
- episódios repetidos de miliária rubra (para miliária profunda)
- exposição à luz ultravioleta
- idade neonatal
- medicamentos colinérgicos
- isotretinoína
- doxorrubicina
- síndrome da pele escaldada estafilocócica
- dermatite atópica
Diagnostic investigations
Investigations to consider
- esfregaço de Tzanck
- anticorpo fluorescente direto (AFD) ou cultura viral
- reação em cadeia da polimerase viral
- cultura bacteriana
- cultura fúngica
- solução de hidróxido de potássio (KOH)
- biópsia de pele
Treatment algorithm
todos os pacientes
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
Disclosures
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
Disclosures
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
Disclosures
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.
References
Key articles
Wenzel FG, Horn TD. Nonneoplastic disorders of the eccrine glands. J Am Acad Dermatol. 1998 Jan;38(1):1-17; quiz 18-20. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Doença de Fox-Fordyce (miliária apócrina)
- Infecção primária por varicela
- Varicela-zóster disseminada
More Differentials
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