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Miliaria crystallina - Skin in Infant/Neonate
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Miliaria crystallina - Skin in Infant/Neonate

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Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH, Nancy Esterly MD
Other Resources UpToDate PubMed

Synopsis

Miliaria crystallina, or sudamina, is a common transient vesicular eruption resulting from superficial blockage of eccrine sweat ducts that usually occurs toward the end of the first week of life. The rash is precipitated by fever and warm environments.

Codes

ICD10CM:
L74.1 – Miliaria crystallina

SNOMEDCT:
44279002 – Miliaria crystallina

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

The diagnosis is usually self-evident. However, occasional cases become more inflammatory or pustular and need to be distinguished from other vesiculopustular rashes of the neonate.

Infectious vesiculopustular dermatoses
Transient non-infectious vesiculopustular dermatoses
Persistent non-infectious vesiculopustular dermatoses

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 11/14/2013
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Miliaria crystallina - Skin in Infant/Neonate
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Miliaria crystallina : Fever, Developed rapidly in minutes or hours, Primarily truncal, Tiny vesicle
Clinical image of Miliaria crystallina
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