Miliaria crystallina in an intensive care setting

Authors: Haas N.; Martens F.1; Henz B.M.

Source: Clinical & Experimental Dermatology, Volume 29, Number 1, January 2004 , pp. 32-34(3)

Publisher: Blackwell Publishing

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Abstract:

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 agr-adrenergic stimulation of sweat gland myoepithelia may have led to miliaria crystallina.

Document Type: Research article

DOI: 10.1111/j.1365-2230.2004.01444.x

Affiliations: 1: Nephrology and Medical Intensive Care, Medical Faculty (Charité), Humboldt-University Berlin, Germany

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