By Gary M. White, MD

Miliaria profunda (MP) is a variant of miliaria in which obstruction of the sweat gland occurs at a deep level, leading to rupture of the duct at the dermoepidermal junction.


Pale, 1-3 mm papules on the trunk are most typical. They may appear as "goose-bumps." There is no pain or pruritus. There may be generalized anhidrosis. It may be brought on by exercise and resolve with cooling.


Obviously, avoiding excessive sweating is recommended to prevent future flares. Comfortable clothing and soothing, cool environments may be advised. Topical steroids may also be tried.


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