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 people with papular urticaria eat fish?

Papular urticaria is a type of allergic reaction, related to direct contact with irritants or bites from mosquitoes and fleas. During treatment for this condition, it is generally advised to avoid eating spicy foods, fish, and shrimp, as these can aggravate allergic diseases by inducing inflammation or worsening itching. Severe scratching may also lead to the formation of small blisters, which, if burst, could potentially cause bacterial infection. Therefore, this disease must be treated formally. It is advisable to avoid spicy and irritating foods, refrain from staying up late, and avoid places with a high presence of mosquitoes and fleas. Pets should not be kept in the home; if pets are present, it is crucial to maintain their hygiene and regularly disinfect and expose bedding and covers to sunlight.

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Written by Liu Gang
Dermatology
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Radical treatment method for papular urticaria

Papular urticaria is a type of allergic reaction, mostly related to contact with irritants, or bites from mosquitoes and fleas, and also has a certain relationship with one's physical constitution. Therefore, there is no permanent cure for this condition; it can only be completely treated with appropriate medication during a flare-up. However, exposure to allergens could lead to recurrence, and the condition has a distinct seasonality, usually peaking in summer and less common in winter. At home, it is advisable to avoid keeping small animals. If there are small animals, they should be bathed and disinfected frequently. Try to avoid going to places with lots of flowers, trees, or insects, and ensure bedding such as sheets and duvet covers are frequently exposed to sunlight for disinfection. During treatment, it is crucial to bathe frequently and maintain personal hygiene.

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Written by Liu Gang
Dermatology
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Papular urticaria is caused by what?

Papular urticaria is a type of allergic disease, often related to contact with irritants or bites from mosquitoes and fleas. It typically appears as a red wheal on the skin surface, accompanied by severe itching. Scratching can lead to the formation of clear, small blisters at the center or top of the wheal. Once this occurs, it is advisable to expose clothing, bed sheets, and quilt covers to sunlight for disinfection. Avoid keeping pets at home and visiting areas with abundant flowers and trees. Conventional antiallergic medications generally can cure papular urticaria in a short period. If blisters appear, try not to scratch them open to prevent bacterial infections.

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Written by Du Kun
Dermatology
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Does blistering in papular urticaria mean it is getting better?

Papular urticaria blistering is not a sign of quick recovery, but rather a peak in the condition. Papular urticaria, as we discuss it, primarily refers to a skin allergic inflammatory reaction caused by insect bites. The areas with more severe inflammation, which are typically at the very center of the rash, may develop blisters. The occurrence of blistering marks a peak period in the course of the disease, not a sign of improvement. As the blisters dry up and crust over, the rash begins to resolve, and the intensity of itching also decreases. The blistering in papular urticaria does not indicate that the disease is quickly subsiding; rather, it is a manifestation of a peak in the disease. After the blisters have dried up, itching gradually lessens, which is the actual sign that the condition is about to improve.

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Written by Liu Gang
Dermatology
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How long will papular urticaria take to heal?

Papular urticaria is a type of contact allergic reaction, related to contact with irritants or bites from mosquitoes and fleas. Generally, this disease can gradually subside on its own within about a week to ten days without treatment. However, some patients experience severe itching after infection, and scratching may lead to the formation of small blisters and secondary infections in the affected area. Therefore, once infected with this disease, it is essential to undergo standardized treatment. Treatment may include oral and topical anti-allergy medications, which typically can cure the condition within about a week. After recovery, it is also important to prevent recurrence by avoiding areas with many mosquitoes, not keeping small animals at home, frequently sunning and disinfecting clothes, bed sheets, and duvet covers, and bathing regularly.