Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series

<p>Abstract</p> <p>Introduction</p> <p>Clothing can be a cause of occupational dermatitis. Frequent causes of clothing-related dermatological problems can be the fabric itself and/or chemical additives used in the laundering process, friction from certain fabrics excess...

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Main Authors: Garcia Anisa M, Carter Robert, Souhan Brian E
Format: Article
Language:English
Published: BMC 2011-09-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/474
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author Garcia Anisa M
Carter Robert
Souhan Brian E
author_facet Garcia Anisa M
Carter Robert
Souhan Brian E
author_sort Garcia Anisa M
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Clothing can be a cause of occupational dermatitis. Frequent causes of clothing-related dermatological problems can be the fabric itself and/or chemical additives used in the laundering process, friction from certain fabrics excessively rubbing the skin, or heat retention from perspiration-soaked clothing in hot working environments. To the best of our knowledge, these are the first reported cases of miliaria rubra associated with prolonged use of flame resistant clothing in the medical literature.</p> <p>Case presentation</p> <p>We report 18 cases (14 men and 4 women, with an age range of 19 to 37 years) of moderate to severe skin irritation associated with wearing flame resistant clothing in hot arid environments (temperature range: 39 to 50°C, 5% to 25% relative humidity). We describe the medical history in detail of a 23-year-old Caucasian woman and a 31-year-old African-American man. A summary of the other 16 patients is also provided.</p> <p>Conclusions</p> <p>These cases illustrate the potential serious nature of miliaria with superimposed <it>Staphylococcus </it>infections. All 18 patients fully recovered with topical skin treatment and modifications to their dress ensemble. Clothing, in particular blend fabrics, must be thoroughly laundered to adequately remove detergent residue. While in hot environments, individuals with sensitive skin should take the necessary precautions such as regular changing of clothing and good personal hygiene to ensure that their skin remains as dry and clean as possible. It is also important that they report to their health care provider as soon as skin irritation or rash appears to initiate any necessary medical procedures. Miliaria rubra can take a week or longer to clear, so removal of exposure to certain fabric types may be necessary.</p>
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spelling doaj.art-a5f680c0a864473fa36a7e7492e76d8d2022-12-22T00:27:24ZengBMCJournal of Medical Case Reports1752-19472011-09-015147410.1186/1752-1947-5-474Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case seriesGarcia Anisa MCarter RobertSouhan Brian E<p>Abstract</p> <p>Introduction</p> <p>Clothing can be a cause of occupational dermatitis. Frequent causes of clothing-related dermatological problems can be the fabric itself and/or chemical additives used in the laundering process, friction from certain fabrics excessively rubbing the skin, or heat retention from perspiration-soaked clothing in hot working environments. To the best of our knowledge, these are the first reported cases of miliaria rubra associated with prolonged use of flame resistant clothing in the medical literature.</p> <p>Case presentation</p> <p>We report 18 cases (14 men and 4 women, with an age range of 19 to 37 years) of moderate to severe skin irritation associated with wearing flame resistant clothing in hot arid environments (temperature range: 39 to 50°C, 5% to 25% relative humidity). We describe the medical history in detail of a 23-year-old Caucasian woman and a 31-year-old African-American man. A summary of the other 16 patients is also provided.</p> <p>Conclusions</p> <p>These cases illustrate the potential serious nature of miliaria with superimposed <it>Staphylococcus </it>infections. All 18 patients fully recovered with topical skin treatment and modifications to their dress ensemble. Clothing, in particular blend fabrics, must be thoroughly laundered to adequately remove detergent residue. While in hot environments, individuals with sensitive skin should take the necessary precautions such as regular changing of clothing and good personal hygiene to ensure that their skin remains as dry and clean as possible. It is also important that they report to their health care provider as soon as skin irritation or rash appears to initiate any necessary medical procedures. Miliaria rubra can take a week or longer to clear, so removal of exposure to certain fabric types may be necessary.</p>http://www.jmedicalcasereports.com/content/5/1/474
spellingShingle Garcia Anisa M
Carter Robert
Souhan Brian E
Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series
Journal of Medical Case Reports
title Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series
title_full Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series
title_fullStr Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series
title_full_unstemmed Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series
title_short Patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures: a case series
title_sort patients presenting with miliaria while wearing flame resistant clothing in high ambient temperatures a case series
url http://www.jmedicalcasereports.com/content/5/1/474
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AT carterrobert patientspresentingwithmiliariawhilewearingflameresistantclothinginhighambienttemperaturesacaseseries
AT souhanbriane patientspresentingwithmiliariawhilewearingflameresistantclothinginhighambienttemperaturesacaseseries