Update: October 2018
Classical hemorrhage is a common skin irritation,
emerging due to imbalance “sweating-evaporation.”
Prickly heat can be of several types: crystalline, red and
deep In advanced cases and in the presence of predisposing
factors, it goes into diaper rash, and then diaper dermatitis.
A separate form, often taken as a banal prickly heat,
is exudative-catarrhal diathesis.
Why is prickly heat on the body primarily in children? To this
Contribute to the skin of babies:
- skin thickness is very small
- she is gentle and vulnerable, so quickly irritated and
- plenty of blood supply, so it’s easy
- poorly developed ducts in well-functioning sweat glands
- saturation of children’s skin with water (up to 90%!).
The sweat glands have been working well since 3-4 weeks, but the ducts
are formed before 5-6 years of age, therefore, prickly heat is not uncommon and
in 3 years.
What does prickly heat look like in a child – symptoms
What does chickpea look like in children? At the very beginning, mom will see
little pink dots against a slightly reddish skin. However,
redness may not be. There are other manifestations
- crystalline – small pearly bubbles appear
on non-inflamed skin, scaly after injury may
merge, dry up in 2-3 days
- red – bubbles of white color or nodules, do not merge, skin
below them is red, the child may show a little anxiety when
touching the affected areas, nodules are formed in the mouths
sweat glands, accompanied by burning and itching, last such
chickens 2 weeks
- deep – bubbles of skin color, quickly forming in
subsurface layer of the skin, just as quickly pass.
Prickly heat can appear on the neck, in natural folds, on
upper chest and back, in the armpits, on the head. Prickly heat on
The face appears in the forehead area. Severe prickly heat with friction
skin, prolonged exposure to feces and urine goes into diaper rash.
It can affect limited areas of the skin (localized) or
be generalized, that is, on the entire surface of the body. When
start worrying? In the area of natural folds and armpits
skin reddens and begins to get wet.
Rash and reddening of the skin are the main symptoms of acne in children.
If a child has a strong anxiety or, conversely,
lethargy, cracks, pustules, fever, he tries
comb the affected places, when you touch them crying, then
this is no longer prickly heat, but a reason to consult a doctor. May have evolved
complication of diaper dermatitis or other serious
Prickly heat may mask under the banal diathesis, allergies,
urticaria (see symptoms of urticaria). How to understand that mom is everything
does it right, and is it just a food allergy for a child?
- Parents are doing everything right, taking care of
child, spend all measures for the prevention of hemorrhage, but the rash
all the same repeated.
- Характерные места и формы диатеза, отличные от prickly heat: чешуйки
on the head, bubbles and small white scales on the cheeks, rashes on
Along with rashes in the untypical diaper rash areas
still appear in natural folds. But they are
a manifestation of diathesis, and not sweaty.
Prickly heat occurs when a combination of several factors:
overheating, excessive sweating, blockage of sweat ducts.
The canaliculi and the mouths (the places of their exit to the surface) do not cope with
increased load, clogged with skin cells.
When overheats ребенок?
- presence of too warm clothes, especially synthetic
- long wearing disposable diapers in hot weather or
in a hot room
- long stay in a hot, stuffy, wet room
- rare bathing and air bathing
- poor hygienic care for the baby, the use of fatty,
poorly absorbed creams that reduce the natural
heat dissipation and violate skin respiration
- during illness (ARVI, sore throat in a child, chickenpox, measles, etc.)
in the presence of high temperature
- Sometimes the cause of prickly heat can be allergic to
the material of the diaper or just its small size.
- Persistent prickly heat can be one of the symptoms of rickets.
- If overheating is joined by friction, feces, urine, then
prickly heat quickly passes into diaper rash, and diaper rash is already
inflammation of the skin, but without the addition of infection.
If you continue to continue to “float” the baby in diapers,
diapers, rarely change them, do not care about the hygiene of the baby and when
этом держать его in a hot room и слишком тепло одевать,
diaper rash can become a more serious problem – diaper
dermatitis occurring with the addition of infection.
But even with adequate care and slight overheating there are
children whose moms should be particularly concerned about prevention
prickly heat, even if the child is already 2 years old, as she quickly passes
in diaper rash and dermatitis:
- allergic children (see allergy to milk in children)
- overweight children
- children suffering from endocrine diseases and disorders
metabolism (diabetes, obesity, rickets, see symptoms
rickets in a child)
- children suffering from seborrheic dermatitis, a tendency to
- children of artificiality
- premature babies
Diagnosis of funic bilium in children
Diseases such as measles, chickenpox, scarlet fever, shingles
herpes (older children) begin with a skin rash, so you should
eliminate such diseases. Atopic dermatitis in children
contact dermatitis, allergic reactions (urticaria, diathesis)
should be differentiated from prickly heat. And if the child has appeared
any rash, be sure to contact your pediatrician or
dermatologist, usually visual inspection is sufficient to establish
When происходит присоединение грибковой или бактериальной
infections of the skin appear pustules, redness and swelling, with
complicated forms of prickly heat – ulcers, weeping cracks with putrid
odor, poorly amenable to therapy. In this case, to determine
the causative agent of infection may need bakposev discharge on
flora and scraping on pathogenic fungi.
What should I do to avoid the appearance of prickly heat?
- Do not wrap the baby! It is easier for a child to warm up than to cool under
thick coat of clothes. Mom should not worry that baby
will freeze: he can warm himself with the help of crying and movements. But
overheating affects the child much worse: and prickly heat appears,
and immunity is reduced.
- Clothes – use clothes for baby from natural
- Change the diapers in time: after each chair and generally up to 8
once a day. In hot weather, generally refuse one-time
diapers, because the skin in them, contrary to advertising, breathes wrong
good as in regular panties. It must be understood that prickly heat in summer
occurs ten times more often than in winter.
- After each stool to wash the baby. If prickly heat
a one-year-old child arises constantly, then it should be washed away and
after each urination. And in the absence of such
opportunities to use wet wipes with
impregnations: vitamins A, E, calendula, chamomile, aloe.
- Diapers – stop using diapers that have become
small or that the child has an allergy.
- Bathe the baby every day: once a day during the cold season
and 2-3 times a day in the heat. For swimming you can only use
At the end of bathing it is recommended to pour water from the basin
or a shower with a water temperature of 1-3 degrees lower. This and
prickly heat prevention, and hardening.
- Air baths – in the continuation of hardening and warning
bat thorny babies need to organize air baths:
first ventilate the room, then undress the baby and leave
naked for 10-15 minutes, gradually increasing this time to
half an hour. Air procedures should be carried out 2-3 times per
- Only hypoallergenic detergents for children –
use only special children’s laundry detergents
child in order to avoid the appearance of irritation and allergies. Most
washing powder in the Russian market under the name “children”
not much different from the usual (marketing techniques). Important
the condition for the difference of the baby powder from the usual is low%
aggressive anionic surfactants in the composition, not more than 5% -15% (according to
EU recommendations), without phosphates, odorless and fragrances – such
powders are much more expensive, but the safest (the best Frau Schmidt
OCEAN BABY, стиральный порошок Regent, экологичные стиральные
порошки Эковер, Nordland Eco и пр.). More blacklist
- Inspect baby’s skin daily. At the slightest appearance
redness apply prophylactic agents: cream under a diaper,
children’s cream or ointment with herbal supplements, oils,
When caring for delicate baby skin do not use
antibacterial wet wipes, as they include
chemicals that can cause contact dermatitis
baby (see wet wipes for child care). And
chlorhexidine wet wipes are dangerous for infants.
What should I do if my child has prickly heat? initially
it is necessary to find and eliminate the cause of its occurrence (high
temperature along with humid air), i.e. air temperature
should be 20-22C, humidity 50-70%, and then fight with
manifestations on the skin.
Treatment потницы предполагает использование ванн, дезинфицирующих
solutions, creams, ointments.
- Bath with chamomile, string, oak bark, yarrow. They
help relieve irritation and eliminate inflammation. To cook
an infusion of herbs for a bath should be 30 minutes before bathing: take three
tablespoons of each herb, pour them with one liter of boiling water, through
half an hour to drain. It is necessary to bathe the child in herbs up to
disappearance of prickly heat symptoms. You can also bathe the baby in
bath with a weak solution of potassium permanganate. After the bath follows
dry the skin with a towel and powder with powder.
- Disinfectant solutions are also effective. for
treating acne in children. Suitable drugs: 1% alcohol solution
chlorophyllipt, 1-2% solution of salicylic or boric acid,
- A good cure for prickly heat is baby powder. In its composition
Talcum powder, starch and zinc oxide are included; powders can be found in the pharmacy
with anesthesin (cools) and panthenol (heals). How to
to use: take a cotton ball, dip in powder and powder
- Cream and ointment in children should be applied only to those
which do not irritate their delicate skin and contain zinc, boric
acid or panthenol: zinc ointment, Calamine lotion, Bepanten,
Drapolen. Antibacterial and antifungal ointments are used by
prescribed by a doctor and shown only when joining a secondary
Important to remember! Powder can be used exclusively on
dry baby skin. If a child has signs of diaper rash or
diaper dermatitis, self-treatment is not recommended. AT
In these cases, only a doctor can prescribe drugs.
How to treat headache in children, if you can not use
medications, ointments and herbs?
With mild prickly heat as therapeutic measures
подойдут те же, что используются for профилактики: постоянные
air baths at a room temperature of 20-22 degrees, frequent
changing the diaper, using lighter clothes. AT течение
A few days, prickly heat should disappear. But with no effect
from these activities in 2-3 days is still worth applying
auxiliary agents (herbs, ointments, antiseptic
Автор: Мельникова Светлана Георгиевна врач-дерматолог