Are heat rash and prickly heat the same?

Written by Qu Jing
Dermatology
Updated on December 03, 2024
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Heat rash, also known as miliaria, is actually what is referred to in medicine as herpes simplex. It is different from prickly heat. Herpes simplex is caused by a viral infection, specifically the herpes simplex virus. It is characterized by clusters of small blisters and often occurs at the junctions of skin and mucous membranes. It is self-limiting but tends to recur, especially when the immune system is weakened. On the other hand, prickly heat occurs in the hot summer months when high temperatures and humidity make sweat evacuation difficult, leading to narrow and blocked sweat ducts, which results in prickly heat. It is usually intensely itchy. Thus, it is advisable to avoid rapid changes in skin temperature, such as moving from sweating heavily to suddenly entering an air-conditioned environment. This can cause sweat glands to close while sweat is still being produced heavily, leading to prickly heat. Treatment for herpes simplex involves antiviral therapy, whereas treatment for prickly heat primarily involves cooling, inducing sweat, and astringent measures.

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Written by Zhu Zhu
Dermatology
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How to use prickly heat powder?

Use of prickly heat powder, with the following recommended methods: First, if it is used on babies, be careful not to let the baby get the prickly heat powder into their mouth or eyes. When applying the prickly heat powder, try to apply it to the buttocks, armpits, or the neck and back area. Second, when applying it to skin folds, try to spread it out evenly and not let it accumulate in one spot. Use only a small amount each time, just enough to cover with a thin layer. Third, after using the prickly heat powder, cover it properly to avoid getting it wet.

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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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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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What medicine is used for prickly heat?

Prickly heat is a common skin disease that often occurs in summer. For the treatment of prickly heat, we divide it into systemic treatment and topical treatment. Systemic treatment mainly involves taking antihistamines orally, such as loratadine tablets, when itching is severe. If there is a pus infection, it is recommended to use antibiotics for treatment. Another method is the topical treatment of prickly heat, which involves the use of cooling powders locally, such as prickly heat powder or cooling and itching-relieving washes, such as calamine lotion or menthol tincture. In cases of pustular prickly heat, calamine or berberine powder can be used topically.

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Written by Zeng Hai Jiang
Pediatrics
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Can children eat eggs when they have prickly heat?

When children develop prickly heat, it is best not to feed them eggs. Prickly heat in children primarily occurs because the sweat glands in the skin become blocked, leading to a type of skin disease. When children develop prickly heat, we need to cool and dry their skin, which will improve and relieve the condition. In terms of diet, we should also avoid spicy and irritating foods, greasy foods, and foods that are likely to cause allergies. Eggs, being rich in proteins, can easily trigger allergies. Therefore, when a child has prickly heat, it is best to avoid giving them eggs. If the child's prickly heat is severe, we can also apply topical medications to the affected area. The principle for using medications should be based on cooling, astringent, and anti-itch properties.