The difference between prickly heat and chickenpox

Written by Cui Lin Jing
Dermatology
Updated on September 07, 2024
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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 Huang Ling Juan
Dermatology
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How to deal with heat rash that doesn't itch?

If prickle heat appears without itching, you can apply some Calamine Lotion locally. If the symptoms are not severe, you may not need any special treatment. Wear loose and breathable clothing, avoid excessive sweating, keep indoor air circulating, avoid direct sunlight, refrain from intense physical activities, drink plenty of water, and using foods that clear heat, cool the blood, and detoxify can also lead to significant improvement. Prickle heat usually occurs due to high temperatures, high humidity, and excessive sweating. Whether prickle heat causes itching varies from person to person; some people feel very itchy, whereas others do not show any symptoms, such as when white heat rash occurs, usually there are no noticeable symptoms. If prickle heat is accompanied by itching, treatment under the guidance of a doctor with antihistamine drugs may be necessary.

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Written by Quan Xiang Mei
Pediatrics
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Will children develop prickly heat on their limbs?

Children sometimes get heat rash, including on their limbs, but it's usually not severe. If the rash appears on the limbs, it's often because the skin on the limbs has been in contact with the skin on the trunk or from lying on that part of the body, such as the back. During the period when a child has heat rash, it's essential to ensure that sweaty clothes are changed promptly to keep the skin dry and clean. Regular bathing is necessary, and using prickly heat powder or, depending on the child's specific situation, treating with creams under a doctor's guidance, are all acceptable approaches. Additionally, parents should avoid giving their child food that could aggravate the condition.

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Written by Zhu Zhu
Dermatology
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What is the difference between prickly heat and rash?

The difference between prickly heat (miliaria) and rash is quite significant. Firstly, prickly heat is a dermatological condition that often occurs in hot weather, heat, or when sweat cannot be excreted through the sweat glands. The main manifestations of prickly heat are visible papules and pustular papules. On the other hand, a rash is a manifestation and a symptom, often occurring in skin infections or diseases like skin allergies and eczema. Thus, prickly heat and rash are completely different concepts.

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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.

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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.