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Sweating: causes, symptoms, diagnosis, treatment

Medical expert of the article

Dermatologist
, medical expert
Last reviewed: 04.07.2025

With prickly heat, the evacuation of secretions is slowed down and its accumulation in the glands leads to the formation of papules.

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Causes of prickly heat

Prickly heat most often develops in warm and humid weather, but can also occur in cool weather if the patient dresses too warmly. The type of damage depends on the depth of the channel that is blocked.

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Symptoms of prickly heat

Miliaria pellucida is an obstruction of the channels in the upper layers of the epidermis, resulting in the formation of teardrop-shaped blisters that burst easily under pressure.

Miliaria rubra is an obstruction of the channels in the middle of the epidermis, with sweat retention in the epidermis and dermis. This causes irritation and the formation of itchy papules.

Pustular miliaria is similar to miliaria rubra, but with the formation of pustules rather than papules.

Profuse miliaria is an obstruction of the dermal papilla channel at the dermoepidermal junction with retention of sweat in the dermis. This results in the formation of large, deep-seated, often painful papules.

Diagnosis of prickly heat

The diagnosis is made based on clinical manifestations depending on the ambient temperature.

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How to examine?

Treatment of prickly heat

Cooling and drying the involved areas, air conditioning are ideal for treating prickly heat.


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