Papular urticaria is a common condition of childhood characterized by a chronic or recurrent papular eruption caused by hypersensitivity to a variety of bites, including those of mosquitoes, fleas, bed bugs and mites.
Papular urticaria presents with multiple urticarial, 3- to10mm papules, mainly on the exposed areas. Lesions are commonly grouped or clustered in a fashion similar to acute bite reactions. Its mainly seen in summer and late spring. These patients are to be treated symptomatically with oral antihistaminics and topical corticosteroids. Advise full sleeves clothes along with environmental control measures.
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