Clinical Application Questions

A distraught 22-year-old mother presents her 9-month-old infant with a generalized papular eruption over the neck and upper torso. The child is irritable but otherwise alert and active. There are no other constitutional or systemic signs. You suspect miliaria.

1. What questions should you ask the mother to help you distinguish miliaria from a viral exanthem?

2. What physical examination features help you distinguish miliaria from a viral exanthem?

3. If you decide this infant has miliaria, what treatment measures can be taken?

4. If you decide this infant has miliaria, what should you tell the mother?

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