Derm

Papular Urticaria

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Papular Urticaria

  • Epidemiology
  1. Seen in infants and children following Insect Bites
  • Etiology
  1. ID Reaction response to Insect Bites
  • Signs
  1. Generalized pruritic rash
  2. Fine, firm Papules and papulovesicular lesions
  3. Appear in clusters
    1. Trunk
    2. Extensor arms and legs
  • Course
  1. May persist for 2-12 days
  2. Recurrent Arthropod Bites may give prolonged reaction
  3. Lesions may become hyperpigmented
    1. Excoriation provokes Hyperpigmentation response
  • Management
  1. Antihistamines
  2. Calamine lotion