This common condition is most frequently seen in service members who have been recently put in hot, humid environments.  The trunk is commonly involved.  Wearing occlusive clothing and military gear further exacerbates the effects of the climate.  As a result, the patient does not sweat onto the skin.  Instead, he or she sweats "into" the skin.

The most common form seen in the deployed military population is little discrete pink to red itchy papules on the trunk.  Besides being a nuisance, the presence of miliaria reduces the service member's ability to cope with heat stress.

Removal of the occlusive clothing, thereby allowing the skin to air is effective yet simple.  The use of calamine lotion with 1 %  hydrocortisone as a shake lotion is effective for relief of symptoms.  The good news is that most personnel will spontaneously resolve after acclimatization.  

Milaria