Structural Diseases of the Sweat Glands Miliaria and Sudamina

These two affections really have no right to be considered as separate diseases. Sudamina is the lesser degree of miliaria, the contents of the vesicles being acid; miliaria is the more developed condition, in which inflammation has occurred and the contents are alkaline - in fact, inflamed sudamina. Sudamina have been described as little round vesicles, produced by distension of the cutis by sweat, and therefore seated at the orifices of the sweat follicles. The vesicles may be attended with more or less inflammation. Then the disease is termed miliaria. Sometimes the vesicles are reddish (miliaria rubra), sometimes white (miliaria alba). These vesicles are developed about the neck, axillae, clavicles, and trunk, in diseases in which profuse sweating occurs, their contents quickly dry; each crop is usuaEy succeeded in from three to six days by fur-furaceous desquamation. The disease is seen in phthisis during summer-time, in acute febrile diseases, the parturient state, fevers, and rheumatism. Since the adoption of a cooler regimen in sick-rooms, the disease has been altogether less frequent than formerly.


Bryonia, Ammon. mur., Arsen. alb., Ledum, and Urtica wens are the most important internal remedies. Sulphur and Apis may be studied.

A weak carbolated bran bath, followed by dusting with either the nitrate of bismuth and starch, or lycopodium powder, is the best local treatment.