Miliaria Rubra is a common presentation in General Practice. This article explore the key features of this condition. 

Talon is a 1 year old boy who recently presented to the practice with otitis media 2 days before and now is brought in by his mother with a rash on his face and torso. 

What are the differentials of this presentation?

What are the key features of examination you would elicit in this consult?

What are the key features of management of this condition?

Examination

• Itchy
• Red Papules
• Minimal seating from affected area

Differentials

• Milia
• Miliaria
• Infantile Acne

Treatment of miliaria (heat rash)

• Keep skin dry and cool
• Remove occlusive clothing
• Cool water compresses and good ventilation
• Calamine Lotion
• Topical steroids
• Antiseptics