Clinical Reference Systems: Pediatric Advisor 10.0
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HEAT RASH (MILIARIA)
Definition
- Tiny, pink bumps
- Occasionally, some are pinpoint-size water blisters
- Mainly on neck and upper back or chest
- Occurs during hot, humid weather
- Heat rash can be itchy
- Older children report a "prickly" pins and needles
sensation
- No fever or sickness
- Also called "prickly heat."
Cause
Heat rash is caused by blocked-off sweat glands. Lots of
children get it during hot, humid weather when sweat glands
are overworked. Infants can also get it in the wintertime
with fever, overdressing, or ointments applied to the chest
for coughs (ointments block off the sweat glands). Older
children can get it with exercise.
Expected Course
With treatment, heat rash usually clears up completely in 2
to 3 days.
Home Care
- Cooling.
Use techniques that cool off the skin:
- Give cool baths every 2 to 3 hours, without soap.
Let the skin air-dry.
- For localized rashes, apply a cool, wet washcloth to
the area for 5 to 10 minutes.
- Dress your child in as few layers of clothing as
possible.
- Lower the temperature in your home or use a fan when
your child is asleep.
- Have the child lie on a cotton towel to absorb
perspiration.
- Hydrocortisone cream.
Apply 1% hydrocortisone cream (no prescription
necessary) 3 times a day to itchy spots. Avoid
hydrocortisone ointments. Calamine lotion is another
option.
- Avoid ointments.
Avoid all ointments or oils because they can block off
sweat glands. Be sure the rash isn't caused by a
mentholated ointment being used for a cough.
Call Your Child's Physician During Office Hours If:
- The rash lasts more than 3 days on this treatment.
- You have other concerns or questions.
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