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Miliaria crystallina in an intensive care setting
Author(s) -
Haas N.,
Martens F.,
Henz B. M.
Publication year - 2004
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/j.1365-2230.2004.01444.x
Subject(s) - medicine , sweat , sweat gland , intensive care , duct (anatomy) , eccrine sweat , adrenergic , stimulation , surgery , anesthesia , intensive care medicine , receptor
Summary Drop‐like, transient blisters of miliaria crystallina may develop with focal intensity of heat within the skin, such as occurs in tropical climates or during febrile episodes. Miliaria crystallina develops due to a transient poral closure of the sweat duct opening, resulting in obstruction of free flow of eccrine sweat and retention in a vesicle below the skin surface. Dual cholinergic and adrenergic sweat gland innervation is influenced by a variety of medications used in intensive care patients. We present two febrile intensive care patients in whom enhanced α‐adrenergic stimulation of sweat gland myoepithelia may have led to miliaria crystallina.