Miliaria (Heat Rash)
What is Miliaria (Heat Rash)?
Miliaria, commonly referred to as heat rash, is a skin condition characterized by small, itchy red bumps caused by the blockage of sweat ducts. The blockage traps sweat beneath the skin, leading to inflammation and rash.
What causes Miliaria?
Heat rash arises due to:
Excessive sweating, often in hot, humid environments
Immature sweat ducts in newborns, making them prone in their initial weeks of life
Wearing tight or heavy clothing that traps sweat
Intense physical activity that promotes heavy sweating
What are the symptoms of Miliaria?
Symptoms of heat rash include:
Small, red bumps or blisters on the skin, commonly on the chest, neck, back, and folds of the skin
Prickly or itchy sensation in the affected areas
Redness and mild swelling
Discomfort or a stinging sensation when sweating in the affected area
How do I treat Miliaria?
Miliaria usually resolves on its own, but the following can alleviate discomfort:
Keeping the affected area cool and dry
Applying cold compresses to the rash
Wearing loose, lightweight clothing
Using calamine lotion or topical steroids for itching relief
Avoiding excessive sweating and humidity
How do I prevent Miliaria?
To minimize the risk of developing heat rash:
Stay in air-conditioned or well-ventilated spaces during heatwaves or high humidity
Wear lightweight, loose-fitting clothing, preferably made of natural fibers
Shower with cool water after sweating heavily
Refrain from applying thick creams or ointments that might block sweat ducts
Occasionally, miliaria can be superficial and pustular as seen in miliaria crystallina.
Credit: DermNet NZ
Miliaria profunda, a type of deep miliaria, can appear very inflammatory in nature.
Credit: DermNet NZ