• | blockage of eccrine duct at various levels is the immediate cause |
• | no agreement on why the sweat escapes at different levels causing different subgroups; or what causes the ductal blockade |
Miliaria crystallina
• | superficial, subcorneal, non-inflammatory vesicles (can literally wipe them off) |
• | classically in a newborn |
Miliaria rubra
• | when obstructed sweat migrates into living layers of the epidermis, as well as upper dermis |
• | causing pruritic inflammatory papules around the sweat pores |
• | disappears after one day in cool environment |
• | anhidrosis associated with miliaria takes two weeks to resolve (time needed to repair affected sweat duct unit by epidermal turnover) |
• | miliaria pustulosa: some eruptions of miliaria rubra become pustular |
Miliaria profunda
• | results when sweat leaks into the dermis |
|