7/27/2019 refraksi mnataa,mu

http://slidepdf.com/reader/full/refraksi-mnataamu 1/2

Carter et al. Journal of MedicalCase Reports 201, 5:474htp:/www.jmedicalcasereports.com/content/5/1/474JOURNAL OF MEDICALCASE REPORTS

CASE REPORTOpen Access

Patients presenting with miliaria while wearingflame resistant clothing in high ambienttemperatures: a case series

Robert Carter I1*, Anisa M Garcia2 and Brian E Souhan3

Abstract

Introduction: Clothing can be a cause of ocupational dermatitis. Frequent causesof clothing-relateddermatological problems can be the fabric itself and/or chemical additives usedin the laundering proces, frictionfrom certain fabrics excesively rubbing the skin, or heat retention from perspiration-soaked clothing in hotworking environments. To the best of our knowledge, these are the first reported

cases of miliaria rubra asociatedwith prolonged use of flame resistant clothing in the medical literature.

Case presentation: We report 18 cases (14 men and 4 women, with an age range of19 to 37 years) of moderateto severe skin iritation asociated with wearing flame resistant clothing in hotarid environments (temperaturerange: 39 to 50°C, 5% to 25% relative humidity). We describe the medical history in detail of a 23-year-oldCaucasian woman and a 31-year-old African-American man. A summary of the other 16 patients is also provided.

Conclusions: These cases ilustrate the potential serious nature of miliaria with

superimposed Staphylococusinfections. Al 18 patients fuly recovered with topical skin treatment and modifications to their dres ensemble.Clothing, in particular blend fabrics, must be thoroughly laundered to adequately remove detergent residue. Whilein hot environments, individuals with sensitive skin should take the necesary precautions such as regular changingof clothing and good personal hygiene to ensure that their skin remains as dry and clean as posible. It is alsoimportant that they report to their health care provider as soon as skin iritation or rash appears to initiate anynecesary medical procedures. Miliaria rubra can take a week or longer to clear,so removal of exposure to certain

fabric types may be necesary.

Introductionmilitarypersonnel in hot arid environments (temperatureClothing can be a cause of occupational dermatitis [1].range:39 to 50°C, 5% to 25%relativehumidity). AlthoughDermatitis can originate from various sources and may18 other patients reporteddermatological problemsbe multifactorial in nature. Frequent causes of clothing-believed to be related

7/27/2019 refraksi mnataa,mu

http://slidepdf.com/reader/full/refraksi-mnataamu 2/2

to wearing FRACUs, this reportrelated dermatological problems can be the fabric itselffocuses on two wel documented casesthat were used asand/or chemical additives used in thelaundering proces.a basis to investigate the nature of dermatological pro-In addition, friction from certain fabrics excesivelyblems among soldiers deployed to Kandahar, Afghani-rubbing the skin, heat retentionfrom perspiration-soakedstan. Kandahar has an arid, continental climateclothingin hot working environments [2],and the physi-characterized by litle precipitation and high variationcal or occlusive efect of clothing can cause distinctivebetwen summer andwintertemperatures.dermatologic conditions. We report two cases of severeskin iritation asociated with prolonged wearing ofCase presentation 1flame-resistant army combat uniforms (FRACUs) byA 23-year-old Caucasian woman with a medical historyof eczema developed a miliaria-like rash (smal red rash* Corespondence: drobertcarter@gmail.comwith papules) on her inner thighs, kne fosa, and bilat-1Thermal andMountain MedicineDivision, USArmy Research Instituteoferal posteriorcalves (Figure 1). Our patient observedEnvironmental Medicine (USARIEM),Natick,MA,USAthat the rash had progresively worsened and spread,

Fullist ofauthorinformation isavailable at the endofthe article

©201Carteretal;licenseBioMedCentralLtd.ThisisanOpenAcesarticledistributedunderthetermsoftheCreativeCommonsAtribution License(htp:/creativecommons.org/licenses/by/2.0), whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedthe originalworkis properlycited.