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 Zeng Hai Jiang
Pediatrics
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How to relieve itching from prickly heat in children

Heat rash in children is primarily caused by blockages in the sweat ducts, due to the poor development of neonatal sweat ducts, a humid and hot external environment, and prolonged bed rest. Based on the appearance of the heat rash, it can be categorized into white heat rash, red heat rash, pustular heat rash, and deep heat rash. Red heat rash can feel itchy and burning; pustular heat rash can cause burning, itching, and pain; white and deep heat rash do not typically present noticeable symptoms. When a child's heat rash feels itchy, topical medications can be applied for relief. Local cold compresses or ice packs can also be used to alleviate itchiness and pain. Naturally, providing a cooler environment for the child is beneficial, including frequent baths to help clear the sweat ducts.

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Written by Tong Peng
Pediatrics
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How to remove baby's prickly heat

Baby prickly heat is mainly caused by the hot and humid living environment, which damages the skin. Therefore, it is important to enhance skin care, especially by improving the environmental temperature. Keeping the room ventilated by exchanging air is the best treatment method. If the skin symptoms are severe, Calamine lotion can be used, which can effectively alleviate the symptoms of prickly heat. The main treatment for prickly heat is prevention. Therefore, especially in summer, the clothes worn by infants should be loose and made of pure cotton. Avoid tight clothes or synthetic fabrics, as these can aggravate the symptoms of prickly heat by causing friction between the skin and the clothing. Also, pay attention to the diet and try to eat less spicy and stimulating food, choosing instead light and liquid-based foods. (The use of medication should be carried out under the guidance of a physician.)

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Written by Zhu Zhu
Dermatology
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The fastest way to get rid of prickly heat

Prickly heat is a common dermatological condition caused mainly by excessively hot weather and high temperatures, which lead to excessive sweat production that cannot be properly released from the body. It often appears in individuals who are bedridden for long periods or in infants and young children. The quickest methods to eliminate prickly heat include: First, keep the skin dry and clean. It is best to ventilate the room well and avoid overheating the indoor environment. Second, wear comfortable and loose-fitting clothing to reduce the occurrence of prickly heat. Third, use talcum powder or some astringent medications, applying them to the affected areas to treat the prickly heat.

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Written by Zeng Hai Jiang
Pediatrics
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Do children get itchy from heat rash?

It itches. Miliaria, caused by blocked sweat ducts, commonly occurs in newborns due to their underdeveloped sweat ducts, as well as in hot environments and situations like prolonged bedrest, which can easily lead to the condition. Some skin infections that block sweat ducts can also cause miliaria. Miliaria is classified into types such as clear miliaria, red miliaria, pustular miliaria, and deep miliaria. Red miliaria is characterized by a burning and itching sensation. In areas with pustular miliaria lesions, there is also a burning, itching, and painful sensation, while the symptoms in areas affected by clear and deep miliaria are less noticeable.

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Written by Zhu Zhu
Dermatology
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Can prickly heat heal by itself?

Prickly heat, the disease, can heal on its own since it primarily results from excessive heat or blocked sweat, leading to the condition. Therefore, prickly heat can gradually heal itself if the temperature decreases, cooler weather prevails, or if one sweats less commonly. However, it is crucial to prevent infection, as if infection occurs, it is necessary to use some topical anti-inflammatory medications. Thus, prickly heat can heal on its own, but it is essential to prevent infection during this time.