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Dermatology · Dermatology: miliaria types
Sample itemTiny clear, non-inflamed, fragile vesicles without erythema appear on the trunk of a feverish infant. What type of miliaria is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Miliaria crystallina
Miliaria crystallina results from sweat duct obstruction at the stratum corneum, producing clear superficial vesicles without inflammation. Miliaria rubra has erythematous papules from obstruction within the epidermis. Cooling and loose clothing are the treatment.
Option by option
A. Miliaria profunda
Miliaria profunda involves the dermis with firm skin-coloured papules.
B. Miliaria rubra
Miliaria rubra is erythematous and itchy.
C. Miliaria crystallina (correct)
Correct. Clear non-inflamed vesicles indicate miliaria crystallina.
D. Erythema toxicum
Erythema toxicum has erythematous blotches with pustules.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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