Heat-Related Illness

<h3>A spectrum — but will you recognize the blurry signposts?</h3> <table width="996"> <tbody> <tr> <td width="151"> </td> <td width="142">Temperature (core)</td> <td width="375">Presentation</td> <td width="328">Management</td> </tr> <tr> <td width="151">Miliaria Crystallina</td> <td width="142">Normal</td> <td width="375">Salt-colored tiny papules, easily burst; not pruritic</td> <td width="328">Modify environment; light clothing; hydration</td> </tr> <tr> <td width="151"> </td> <td width="142"> </td> <td width="375"> </td> <td width="328"> </td> </tr> <tr> <td width="151">Miliaria Rubra</td> <td width="142">Normal</td> <td width="375">Discrimiate, red papules, not assocaited with follicles; pruritic</td> <td width="328">Above plus cool compresses; calamine lotion; symptomatic tx for pruritis </td> </tr> <tr> <td width="151"> </td> <td width="142"> </td> <td width="375"> </td> <td width="328"> </td> </tr> <tr> <td width="151">Miliaria Profunda</td> <td width="142">Normal</td> <td width="375">Confluent flesh-colored, “lumpy-bumpy”; burning</td> <td width="328">Same as rubra</td> </tr> <tr> <td width="151"> </td> <td width="142"> </td> <td width="375"> </td> <td width="328"> </td> </tr> <tr> <td width="151">Miliaria Pustulosa</td> <td width="142">Normal</td> <td width="375">May resemble rubra and/or crustallina, but pustular; h/o previous dermatitis</td> <td width="328">Same as above, but may may need antibiotic if no improvement over time</td> </tr> <tr> <td width="151"> </td> <td width="142"> </td> <td width="375"> </td> <td width="328"> </td> </tr> <tr> <td width="151">Heat edema</td> <td width="142">Normal</td> <td width="375">Swelling of feet, ankles, and/or lower legs</td> <td width="328">Modify environment; elevate legs</td> </tr> <tr> <td width="151"> </td> <td width="142"> </td> <td width="375"> </td> <td width="328"> </td> </tr> <tr> <td width="151">Heat syncope</td> <td width="142">Normal</td> <td width="375">Dizziness, orthostatic hypotension, and syncope after exertion with rapid return to normal men