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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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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The difference between prickly heat and allergies

Prickly heat and allergies are two different diseases, each with many significant distinctions. First, prickly heat tends to occur when the temperature is high, the weather is hot, and the body's resistance is low, while allergies are likely to occur when the skin reacts to certain foods, weather conditions, or allergens, causing corresponding skin symptoms. The treatment for prickly heat primarily involves the use of cooling powders applied externally, while maintaining a cool environment and bathing frequently. Allergies, on the other hand, are mainly treated with oral antihistamines.

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Written by Qu Jing
Dermatology
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Are heat rash and prickly heat the same?

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 deal with heat rash in adults?

Adults may develop heat rash, usually due to excessively hot weather or high temperatures, which causes excessive sweating and the inability to expel this sweat effectively. Recommendations for this condition are: first, ensure good ventilation to cool down; second, bathe frequently to reduce skin temperature; third, use medications for treating heat rash or apply everyday items like honeysuckle water; fourth, maintain dryness and wear breathable, cool clothing.

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Written by Tong Peng
Pediatrics
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What should I do if a baby gets prickly heat?

If babies develop prickly heat, it should be considered that their sweat glands are underdeveloped, making them susceptible to changes in temperature which can lead to increased sweating. Their sweat can block the sweat glands and increase the occurrence of prickly heat. In terms of treatment, first of all, it's important to pay attention to the temperature of the baby's living environment, ensuring a certain level of humidity and temperature to reduce the stimulus of sweating. Additionally, care should be taken that the clothing is not too tightly wrapped; preferably choose cotton and loose clothing to keep the skin breathable. Furthermore, if prickly heat occurs, you can apply baby-specific prickly heat powder for topical application. Also, pay attention to any symptoms of skin infection, and if present, timely medication should be administered to avoid exacerbation of symptoms leading to infection.