Sudamen - a specific form of dermatitis, which is manifested as a result of irritation of the skin due to excessive sweating.
Sudamen arises as a result of temperature increase (as the environment and the body itself), and also due violations of the rules of hygiene, because of what disturbed the functioning of skin glands - sweat and oil that causes a response skin reaction.
Most often suffer from prickly heat infants, young children, as their skin is very thin, delicate and sensitive, but can suffer and adults who have problems with metabolism, obesity, and violation of health standards, preferring dense and not breathing clothes.
Causes
Basically when prickly heat affected skin areas with inadequate ventilation:
- natural body folds (armpits, groin, knee and elbow bends)
- area under the breasts in women and very obese men,
- the area behind the ears in children and adults with thick hair,
- the area between the thighs, if the legs are very full,
- area located constantly under clothing (area under the bra, swimming trunks, diapers), bandages, dressings.
Promote the development of prickly heat:
- synthetic clothing, nonbreathers dense tissue,
- fevers,
- elevated temperature combined with high humidity,
- injuries and skin rubbed sore,
- application of creams, oils, oil-based cosmetics clog pores,
- diabetes, metabolic disease, obesity.
development mechanism
Increase in body temperature leads to incorporation of protective cooling mechanisms - open pores and emerges sweat, which cools the body.
If sweat glands are clogged sebum, cosmetics, if humid and hot air, the processes suffer from perspiration. Sweat evaporates slowly, causing skin irritation.
The composition of sweat are salts and biologically active substances that may have a skin irritant. At untimely removal of excess perspiration on the skin begin to actively proliferate microbes are always there - there the process of inflammation of the sweat glands - formed sudamen, small rash, accompanied by various unpleasant subjective symptoms.
Kinds
Released three different clinical subtypes prickly heat:
- papular sudamen,
- Red sudamen,
- Crystal sudamen.
symptoms of prickly heat
papular sudamen
This form is more common in adults in hot summer conditions and high humidity.
When a miliaria papular rash occur in the form of small, flesh-colored bubbles which average about 1-2 mm.
Usually pour bubbles in the chest and abdomen of the side surfaces of the hands or feet.
In addition to displays of prickly heat is characterized by flaking, and severe dry skin, causing itching and discomfort.
Red sudamen
When the red form miliaria occur nodules and vesicles to 2 mm in diameter, filled with muddy contents surrounded whisk redness.
The bubbles do not coalesce into a single field strongly itch, especially in the amplification of sweating and increase in skin temperature and air.
Especially strongly manifested in such sudamen ground friction - between the buttocks, under the diaper, under the breasts of women, between her thighs. This kind of prickly heat is also more common in adults.
crystal sudamen
The crystalline form of prickly heat usually occurs in children.
It is white or translucent bubbles are no more than 1 mm in size, the bubbles tend to merge and form larger areas, they can burst and dry up, forming crusts and peeling, easily infected, and allow the development of pyoderma (pustules on the skin). Arise in the area of the forehead and face, the neck and torso, may be on the shoulders and back.
Sudamen can produce severe itching and swelling of the skin, especially in children, mimicking many other diseases.
Prickly heat rash when Easy confused with skin manifestations of infectious or allergic diseases (measles, chickenpox, hives)
Because of the tenderness of the skin and a weak immune system, heat rash in children is often complicated by the addition of a secondary infection progresses rapidly and leads to get wet, and diaper rash.
methods of diagnosis
Usually the diagnosis in typical cases is not difficult and is set by the results of the inspection and complaints.
Skin moist, sweaty patches of redness and pimples. The diagnosis is a pediatrician or general practitioner. In complicated cases, need to consult a dermatologist.
prickly heat treatment
The basis of the treatment of prickly heat, and in children and in adults - is air access to your skin and health.
Should not be to wrap the baby, dressing too warmly and wear things that amplifies sweating.
It is necessary to avoid wearing synthetic or tight clothing in hot, humid climates, excessive use of soap.
- In the presence of lesions required podsushivayuschee activities - bathing in herbs (succession, chamomile, oak bark), leather processing cotton balls with herbs.
- When sweating naturally folds help powdering zone - baneotsin, talc, potato starch.
- When infected prickly heat the skin is treated slightly pink solution of manganese. Assist means Dermaveyt emulsion with zinc oxide - they relieve itching and redness.
- Treatment of affected areas of the skin antiseptic solution (e.g., an alcoholic solution of salicylic acid).
- To reduce pruritus in adults - topical ointment betamethasone 2 times a day for 3 days, and also preparations containing menthol, camphor.
- In bacterial infection receiving antimicrobials.
If prickly heat banned creams, lotions, oils and fat, they will only aggravate the situation.
With a strong sweating in adults required medical consultation and treatment of manifestations of hyperhidrosis (excessive sweating).
Avoid strenuous exercise in hot environments, in warm clothes.
It is recommended to slow acclimatization to a hot climate.
Prediction and prevention
The prognosis for a favorable prickly heat, with the elimination of the causes she held for 1-2 days.
The basis of prevention - wearing loose clothing and breathable clothes, personal hygiene with regular showering.
For children through prevention - daily hygiene and air baths, wearing light clothing, in the heat - rejection of swaddling and diaper.
