The difference between prickly heat and rash

Written by Li Ying
Neonatology
Updated on September 02, 2024
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It's often hard for parents to distinguish between intertrigo and prickly heat, but our approach to handling them is generally the same: keep the area dry and apply a small amount of talcum powder to the area affected by prickly heat. Diaper dermatitis and prickly heat may appear similar. Diaper dermatitis primarily occurs on the baby's genital area due to the parents' failure to change diapers or nappies in time, leading to contamination of the skin by the baby's excrement, which can cause the appearance of erythema. Typically, the skin's surface will exhibit red patches or rashes. At this point, we shouldn't use talcum powder; instead, we should visit a dermatologist who will prescribe antimicrobial topical treatments. Another condition is atopic dermatitis, which also manifests with the development of a rash but is characterized by genetic predisposition and being primarily an allergic reactive disease. It usually appears on the face and the flexural sides of the limbs. If you notice that your baby develops rashes not just during summer but also in winter, or if the rashes appear sporadically, you should take your child to a dermatologist for an examination to see if it is atopic dermatitis. For managing atopic dermatitis, the routine care typically involves the long-term use of moisturizers instead of talcum powder and avoiding allergens.

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Written by Zhu Zhu
Dermatology
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Can prickly heat be treated with calamine?

Lugan Stone Cleanser is mainly used for acute pruritic dermatosis, such as urticaria, eczema, prickly heat, etc. Thus, it can be used for prickly heat. The method of use is topical application; shake well before use, apply an appropriate amount of Lugan Stone Cleanser to the affected area, and it can be applied two to three times a day. However, if there is a burning sensation or swelling at the site of application, discontinue use immediately, clean the area thoroughly, and consult a local physician if necessary. Additionally, to prevent the recurrence of prickly heat, it is important to keep the environment cool and ventilated, avoid outdoor activities under strong sunlight, frequently bathe in warm water and dry the skin properly, and maintain a light diet rich in vegetables and fruits while avoiding spicy, stimulating, and greasy foods.

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Written by Zhu Zhu
Dermatology
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When does prickly heat itch?

Prickly heat commonly occurs when temperatures are high, the weather is hot, or when the skin's resistance is weak. One of the main symptoms of prickly heat is itching, particularly prevalent during excessively hot weather, especially when sweating occurs. The sweat soaking into the skin can lead to the appearance of symptoms such as papules and vesicles, which can be particularly itchy. It is advisable to manage these symptoms appropriately.

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Written by Cui Lin Jing
Dermatology
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The difference between prickly heat and chickenpox

Prickly heat is a physical skin condition that often occurs in hot and humid summer weather, related to excessive sweating, especially common among infants, the elderly, and people working in high-temperature environments. It appears in three types: white, pustular, and red prickly heat. Generally, prickly heat does not have systemic symptoms; it does not feature fever and is not contagious. Chickenpox, on the other hand, is a common acute infectious skin disease, mainly characterized by scattered erythema and vesicles on the trunk, face, and proximal limbs. It is contagious and has prodromal symptoms such as fever, fatigue, and muscle soreness.

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Written by Zhu Zhu
Dermatology
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What does prickly heat look like?

Prickly heat is one of the most common acute skin inflammations in summer, caused by blocked sweat pores. It often occurs on the scalp, forehead, neck, chest, armpits, and groin. The skin becomes red, followed by the appearance of small, red papules or vesicular rashes, densely clustered. Some of these papules can develop into pustules. After developing prickly heat, intense itching or pain can occur. Therefore, in summer, it is important to keep indoor ventilation and cooling, and children's clothing should be loose, soft, and highly absorbent.

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Written by Zhu Zhu
Dermatology
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How to eliminate prickly heat?

To eliminate prickly heat, it is necessary to pay attention to the following points: First, it is recommended to use air conditioning to cool down during summer, maintain indoor ventilation, and ensure smooth airflow. Second, it is advisable to add some medicinal ointments or solutions that help treat prickly heat to the bath water. Third, you can apply prickly heat powder or talcum powder on the affected areas to help keep the skin dry and clean. Of course, you can also apply a mild astringent ointment to the affected areas to achieve a therapeutic effect.