How should papular urticaria be treated?

Written by Liu Gang
Dermatology
Updated on February 25, 2025
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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.)

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Written by Liu Gang
Dermatology
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Is papular urticaria syphilis?

Papular urticaria is a type of allergic reaction, related to direct contact with irritants or insect bites. Generally, it is self-healing, and it can gradually disappear over time. Syphilis is a sexually transmitted disease, usually contracted through unclean sexual contact, and can result in genital ulcers or other more severe symptoms. Papular urticaria and syphilis are unrelated diseases and require separate treatments. It is essential to go to a regular hospital's dermatology department for diagnosis and treatment. For syphilis, attention should be paid to personal dietary and lifestyle habits, and avoid unclean sexual contacts.

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Written by Liu Gang
Dermatology
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How long does papular urticaria heal by itself?

Papular urticaria is a type of allergic reaction, mostly related to contact with irritants or bites from mosquitoes, fleas, and similar insects. Typically, it causes red wheals to appear on localized areas of the body, often topped with a small secondary lesion or blister. Most cases involve itching. Generally, papular urticaria can resolve on its own within about a week without treatment. However, if the symptoms are severe, and the blisters are large, scratching them open can lead to infection, which will prevent natural healing. It is best to treat papular urticaria as soon as it appears using antiallergic medications either topically or orally, which usually lead to a quick recovery. After recovery, it is crucial to maintain a proper diet and lifestyle habits, avoid keeping small pets at home, stay away from areas with dense vegetation, and ensure bedsheets and covers are sun-dried to sterilize and kill germs.

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Written by Qu Jing
Dermatology
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The cause of papular urticaria

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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Does papular urticaria spread?

Papular urticaria is a type of allergic disease, mostly related to exposure to irritants, or bites from mosquitoes and fleas. This disease is not contagious, and it cannot be transmitted through contact with others. Once the disease is discovered, it must be treated with proper anti-allergy medications. Additionally, it's important to frequently sun-dry and disinfect personal items such as bed sheets, duvet covers, and clothes. Avoid keeping small animals at home and try to stay away from areas with lots of plants and trees. Some cases of papular urticaria may develop small blisters. These blisters should not be punctured as breaking them can lead to infections and potentially more severe symptoms. Generally, with proper treatment, the symptoms can gradually subside, usually within about a week.

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Written by Liu Jing
Dermatology
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Can urticaria papulosa be washed with sulfur soap?

Papular urticaria is an allergic reaction caused by insect bites, which can cause severe itching. Sulfur soap, which acts as an antibacterial, antifungal, and degreasing agent, is not effective in relieving itchiness from papular urticaria, and therefore its use is not recommended. Enhancing skin cleanliness and providing symptomatic anti-allergy and itch-relieving measures are advised. Oral medications such as ebastine tablets, Jinchanchu Itching Granules, and prednisone acetate tablets can be taken. For the skin areas affected by insect bites, topical applications like fluticasone propionate cream or compound clobetasol propionate cream can be used, and the general course of treatment should be controlled within one week. (The use of medications should be under the guidance of a physician.)