Miliaria

Question 1

What populations do you most commonly see miliaria?

Answer 1

• neonates who have not fully developed eccrine ducts

- adults in hot, humid climates

Question 2

What are the three types of miliaria?

Answer 2

• crystallina
• rubra
• profunda

Question 3

What are the locations of obstruction of eccrine duct in:

• miliaria crystallina
• miliaria rubra
• miliaria profunda

Answer 3

• crystallina: stratum corneum (C and C)
• Rubra: mid-epidermis
• profunda: DEJ

Question 4

Miliaria cyrstallina presents as:

Answer 4

• non-pruritic, clear, fragile 1mm veslices, most commonly on face and trunk
• seen in neonates and adults in hot climates

Question 5

How does miliaria rubra present?

Answer 5

• pruritic, erythematous 1-3mm papules/pustules in neonates and adults in hot climates
• most commonly on neck and upper trunk

Question 6

How does miliaria profunda present?

Answer 6

• non-pruritic, white, 1-3mm papules
• on adults in hot climates (often with multiple bouts of miliaria rubra)
• trunk and proximal extremities most often affected