The difference between prickly heat and eczema

Written by Zhu Zhu
Dermatology
Updated on September 02, 2024
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Prickly heat and eczema, although both are skin-related diseases, have significant differences. Firstly, looking at the causes, prickly heat mainly results from excessive sweat due to overheating and high temperatures which cannot escape. Eczema, on the other hand, is caused by a variety of internal and external factors such as allergies, seasons, and weather, leading to an allergic skin disease. Regarding treatment, prickly heat can be addressed with prickly heat powder or some cooling ointments, which often result in a cure. In contrast, eczema is typically treated with antihistamines or astringent medications. (Please use medication under the guidance of a doctor)

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Written by Zhu Zhu
Dermatology
46sec home-news-image

The difference between prickly heat and eczema

Prickly heat and eczema, although both are skin-related diseases, have significant differences. Firstly, looking at the causes, prickly heat mainly results from excessive sweat due to overheating and high temperatures which cannot escape. Eczema, on the other hand, is caused by a variety of internal and external factors such as allergies, seasons, and weather, leading to an allergic skin disease. Regarding treatment, prickly heat can be addressed with prickly heat powder or some cooling ointments, which often result in a cure. In contrast, eczema is typically treated with antihistamines or astringent medications. (Please use medication under the guidance of a doctor)

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Written by He Da Wei
Dermatology
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Symptoms of eczema

Eczema is an intensely itchy skin inflammation reaction caused by various internal and external factors. It is categorized into three phases: acute, subacute, and chronic. 1. Acute eczema: Initially, the skin lesions appear as numerous, densely packed millet-sized papules, vesicopapules, or small vesicles with a reddish base that gradually merge into patches. Due to scratching, the tops of the papules, vesicopapules, or vesicles break open, leading to distinctive punctate exudation and minor erosion with unclear margins. If secondary infection occurs, the inflammation becomes more pronounced, possibly forming pustules, crusts, folliculitis, and boils. There is severe itching. Commonly affected areas include the head, face, behind the ears, extremities, scrotum, and perianal region, often symmetrically distributed. 2. Subacute eczema: Following the reduction of acute eczema inflammation, skin lesions primarily consist of small papules, crusts, and scales, with only a few vesicopapules and erosions, yet intense itching persists. 3. Chronic eczema: Often, chronic eczema results from reoccurring episodes of acute and subacute eczema that do not resolve, or it may start as chronic eczema. Characteristics include thickened, infiltrated skin at the affected sites, which tend to be brownish-red or have pigmentation, a rough surface covered with scales, or crusting caused by scratching. There is severe itching. Common sites include the lower legs, hands, feet, elbows, knees, genitals, and anus. The duration of the disease is variable, it is prone to relapse, and is often long-lasting without resolution.

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Written by Yan Xin Liang
Pediatrics
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How to treat infant eczema

Eczema is an intensely itchy skin inflammation reaction caused by a variety of factors, including both external and internal causes. External factors include environmental climate changes, sunlight exposure, animal fur, cosmetics, etc. Internal factors mainly involve food, endocrine disorders, stress, and more. Treatment primarily targets these causes. If caused by external factors, efforts should be made to avoid them. If related to food allergies, such as milk or eggs, these allergenic foods should be avoided. Treatment can also include the use of anti-allergic ointments, commonly corticosteroid ointments, as well as oral anti-allergy medications to assist in treatment.

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Written by Xie Ming Feng
Dermatology
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What should not be eaten with eczema?

The pathogenesis of eczema is very complex. As for which foods should be avoided, it is based on frequent observation. If you are unsure about which foods to avoid, you can go to the hospital for allergen testing. It is important to be cautious about dietary restrictions for babies, and while avoiding certain foods, it is also necessary to ensure the intake of nutrients.

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Written by Huang Ling Juan
Dermatology
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How to distinguish eczema from prickly heat

Eczema and heat rash have clear differences, including different causes. Eczema is primarily caused by allergens, as well as excessive mental stress, anxiety, and hormonal imbalances. Heat rash, on the other hand, usually arises from overly humid and hot environments that affect normal sweating function, leading to blocked sweat ducts. Their clinical manifestations also differ. Eczema typically presents as polymorphic and symmetrically distributed lesions, usually manifesting as papules and vesicular papules, and in severe cases, erosion, exudation, and significant itching are observed. Heat rash clinically appears as tiny, pin-sized blisters that emerge in clusters and merge into patches, typically found at skin folds without symmetry. White heat rash generally has less noticeable itching, whereas red heat rash is itchy and can also feel burning.