Miliaria

Overview

4.6 out of 5 (14 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Sep 2023

Last Review Date

1 Sep 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


 
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Activity Description

Miliaria, also known as eccrine miliaria, is a common skin condition caused by the blockage of eccrine sweat glands and ducts. This obstruction leads to the backflow of eccrine sweat into the dermis or epidermis, resulting in a rash characterized by sweat-filled vesicles under the skin. The 3 main types of miliaria—crystallina, rubra, and profunda—are classified based on the depth of sweat duct obstruction, each presenting with distinct clinical and histological features. Miliaria is often referred to as "heat rash," "prickly heat," or "sweat rash," and is most prevalent in warm, humid climates, especially during the summer. The rash is typically self-limiting and usually resolves without treatment. 

The primary cause of miliaria is the obstruction of eccrine sweat glands or ducts, resulting from cutaneous debris or bacteria, such as Staphylococcus epidermidis, which forms biofilms. This obstruction causes sweat to leak into the epidermis or dermis, leading to cellular overhydration, swelling, and further duct occlusion. In more severe cases, deeper involvement of the eccrine glands or ducts can result in their rupture. Management focuses on reducing sweating and preventing duct blockage through measures such as staying in cooler environments, wearing breathable clothing, and removing skin-occluding items. Dermoscopy and, in uncertain cases, a skin punch biopsy can assist in diagnosis, with high-definition optical coherence tomography helping to identify duct obstructions. This activity covers the epidemiology, genetics, clinical presentation, and management of miliaria, emphasizing the importance of an interprofessional healthcare team in providing comprehensive treatment and prevention strategies tailored to individual patient needs.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the various types of miliaria and their distinct clinical and histological features to ensure accurate diagnosis.

  • Implement appropriate management strategies to reduce sweating and prevent duct blockage, including environmental modifications and lifestyle changes.

  • Select suitable treatments based on the type of miliaria, including topical therapies for miliaria rubra and antibiotics for miliaria pustulosa.

  • Collaborate with interprofessional healthcare providers for atypical or treatment-resistant miliaria and coordinate comprehensive care addressing clinical and psychosocial aspects.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Dr.Mallikarjun K. on 4/29/2022

Dr.Ayodhyaprasad S. on 7/7/2022

Prabhat K. on 7/31/2022

Jaspreet K. on 12/30/2022

Michelle D. on 1/16/2023

Elizabeth H. on 2/27/2023

Gautam P. on 5/3/2023

Ajay P. on 5/23/2023

Rodrigo C. on 8/28/2023

Angela Y. on 9/11/2023

Jerin M. on 5/23/2024

Revathi K. on 5/30/2024

Aneesh M. on 5/31/2024

Carol I. on 6/18/2024

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