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Location: Somewhere in Kent, sniffing some V-Power
Posts: 7,936
Yes, many times for atleast 3 months and it makes sod all difference.
The only thing that works for a while is sweating... a lot. If I don't, after several days if I get a little bit warm, the rash will come back. Sometimes, it will be just on my arms, others on my front and back. It does feel and look like Prickly Heat, but 'moving to a cooler climate' isn't really an option and I find it odd that vigerous exercise and sweating cures it for a while more than anything else I have tried.
It is even worse this time of year because I keep going to cool to warm conditions all the time.
Prickly heat is a surprisingly poor researched area, and little is written about it in textbooks, so whilst my comments may have more of a physiological basis than the quack you saw, they are not definitive.
It may be that you have excessive colonisation of sweat glands with bacteria, resulting in a white cell infiltration (from your immune system) producing casts that are blocking the ducts if you're not regularly flushing out your ducts. The solution you've found with heavy, regular exercise is possibly as good as you'll get. Although unlicensed for this use, I think a course of antibiotics for say a month or two like you'd be given for acne could be worth a try since the likely bacteria involved are likely to be sensitive. Unfortunately, a skin swab to test for this is likely to be useless, as the implicated bacteria commonly colonise the skin anyway.
If this doesn't work and you're not happy with your own solution it might be worth seeing a dermatologist.
