miliaria profunda

Etiology

• caused by occlusion of sweat duct in the lower epidermis or dermis
• prolonged exposure to heat, especially in tropical areas, while performing heavy labor is usually necessary
• may occur as a progression from miliaria rubra

Epidemiology

rare

Clinical manifestations

• stinging, pruritic lesions similar to miliaria rubra
• appearance of discrete vesicular lesions
• decreased or absence of sweating in affected regions
• may occur as a progression from miliaria rubra
• hyperthermia, exhaustion & heat intolerance may occur

Laboratory

not useful in diagnosis of miliaria

Management

(common to all forms of miliaria)

• moving to cooler environment
• application of cool compresses
• wearing light, loose-fitting clothing
• avoidance of greasy topical agents
• natural desquamation
• ensure adequate hydration

More general terms

• miliaria (heat rash, sweat rash)