Since World War II there has been considerable investigative effort expended in the study of miliaria rubra, particularly in study regarding its histogenesis. Relatively little has been suggested as regards its therapy. A natural hesitancy accompanies the recommendation of a single local therapeutic agent for the therapy of any dermatosis, but I believe that the proved efficacy of the treatment described justifies this brief report.
In the early part of 1945, during intensive preinvasion maneuvers of a Marine division on Guadalcanal, approximately 150 cases of extensive miliaria rubra were encountered. Twenty of the patients required temporary hospitalization and the majority of the patients were incapacitated. In an effort to find an effective local application it was discovered that 4% tannic acid in 60% alcohol produced surprisingly rapid improvement. The solution was applied twice daily, allowed to dry, and then talcum powder was applied. The only disadvantage encountered was a
SHELTON JM. TOPICAL THERAPY IN MILIARIA RUBRA. AMA Arch Derm Syphilol. 1953;67(6):634–635. doi:10.1001/archderm.1953.01540060096018
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