The cause of papular urticaria

Written by Qu Jing
Dermatology
Updated on February 11, 2025
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Papular urticaria, also known as insect bite dermatitis, is commonly seen in children and individuals with lower resistance and sensitive skin. It is caused by bites from insects such as mosquitoes and mites. The resulting skin reaction varies from person to person and is characterized by red patches and blisters. According to Traditional Chinese Medicine, it can be categorized into damp-heat type and wind-heat type. The wind-heat type usually occurs on the limbs, while the damp-heat type is more common around the waist and features larger and more numerous blisters. This condition is related to insect bites, commonly from mosquitoes, lice, fleas, mites, bedbugs, etc. After being bitten, the saliva injected into the skin may trigger an allergic reaction in the body.

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Written by Liu Gang
Dermatology
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Can papular urticaria heal by itself?

Papular urticaria is a type of allergic reaction, with most allergens being relatively clear. It is related to contact with irritants or bites from mosquitoes and fleas. Generally, if the symptoms of the disease are mild, no treatment is needed, and it can go away on its own after a few days. However, if the symptoms are severe, such as the appearance of blisters or signs of infection, it is best to treat symptomatically. Commonly used oral and topical anti-allergy medications can be employed. It is also important to frequently expose clothes, bed sheets, and duvet covers to sunlight for disinfection to eliminate mites or fleas. Do not keep small animals at home, try to avoid going to places with many flowers and trees, refrain from consuming spicy and irritating foods, and avoid staying up late.

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Written by Liu Gang
Dermatology
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Can people with papular urticaria take baths?

Papular urticaria is mostly related to contact with irritants or direct bites by mosquitoes. Generally, it is a type of allergic reaction. In most cases of papular urticaria, red papules appear on the surface of the skin, which are quite itchy. It is okay to bathe during this period, but some papular urticaria shows clear small blisters on the reddened skin surface. It is best to avoid bathing during the period when these blisters are present. Bathing can easily burst the blisters, leading to infection. This condition must be treated properly. Regularly sunning bed sheets and covers at home, avoiding contact with small animals, and staying away from places with many plants and trees are advisable.

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Written by Liu Gang
Dermatology
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Does papular urticaria fear wind?

Papular urticaria is a type of allergic reaction, associated with contact with irritants or bites from mosquitoes, fleas, and other insects. Therefore, papular urticaria is not affected by wind, and wind exposure does not worsen the condition or make it contagious. This disease is different from common measles or viral infectious diseases. It can be completely cured with antiallergic medication, but it does have a tendency to recur. After clinical recovery, it is important to regulate one's diet and lifestyle, avoid staying up late, minimize anxiety and stress, abstain from spicy and irritating foods, avoid keeping small animals at home, stay away from areas with abundant plants, and ensure regular sun exposure and disinfection of bed linens and covers.

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Written by Liu Gang
Dermatology
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Precautions for Papular Urticaria

Papular urticaria is a type of allergic reaction, mostly related to direct contact with irritants, or bites from mosquitoes and fleas. Therefore, it is essential to be cautious in daily life. Do not keep small animals at home, and if you do, ensure that they are kept clean, bathed frequently, and disinfected regularly. If you live in a humid environment, often sun and disinfect your bed sheets and covers. Avoid going to places with many mosquitoes and insects like under trees or grassy areas. Try to avoid spicy and irritating foods for a long time, do not stay up late, exercise more, bathe more frequently, and avoid soaking in public baths or swimming. Do not stay too long in unclean environments. Maintaining good personal hygiene is sufficient.

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Written by Liu Gang
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How should papular urticaria be treated?

Papular urticaria is a type of contact allergic reaction, often associated with mosquito or flea bites. It results in red papules, wheals, or blisters on localized areas of the body. For milder symptoms, applying calamine lotion can gradually lead to recovery. For more severe symptoms, accompanied by intense itching, in addition to calamine, loratadine can be orally administered for treatment. If blisters are prominent, they can be disinfected with iodine and then punctured to squeeze out the blister fluid, which generally suffices for treatment. This disease tends to recur, so maintaining cleanliness at home is crucial. Avoid keeping small animals, and ensure clothes and bedding are thoroughly sun-exposed and disinfected to eliminate mosquitoes and fleas, thus minimizing the likelihood of recurrence. (Use medications under the guidance of a doctor.)