The difference between papular urticaria and urticaria

Written by Liu Gang
Dermatology
Updated on September 14, 2024
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Papular urticaria is an allergic reaction caused by direct contact with irritants or insect bites such as mosquitoes. The cause of the disease is relatively accurate, and treatment typically involves disinfecting clothes, bed sheets, and duvet covers by exposing them to sunlight, avoiding contact with small animals, and common antiallergic medications can cure it quickly. The causes of common urticaria are more complex and often unclear; identifying the allergens usually requires allergy tests in hospitals, and the treatment is more complicated than that for papular urticaria. Common antiallergic drugs can cure it in the short term. However, some cases of urticaria that enter a chronic phase can be very troublesome to treat, with lengthy treatment times and poor outcomes.

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Written by Liu Li
Pediatrics
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How long does it take for children's urticaria to heal on its own?

There are many reasons why children may develop hives, such as exposure to allergens, bacterial infection, or genetic factors. If children display symptoms of hives, parents must promptly identify the cause and treat the condition with medication based on the examination results. Normally, hives cannot heal on their own; not only are they unlikely to resolve without treatment, but they may also recur. If a child suffers from hives, it is best for parents to take them to the hospital for a detailed and comprehensive examination, and to follow the guidance of a professional doctor for safe and effective targeted treatment.

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Written by Xie Ming Feng
Dermatology
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How should hives be treated?

Urticaria is divided into acute and chronic types. Antihistamines are the first choice of treatment for acute urticaria. If the condition is severe and antihistamines are ineffective, corticosteroids can be used to control the condition. The fundamental treatment for chronic urticaria is to remove the cause, and specific medications should be used under the guidance of a doctor.

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Written by Du Rui Xia
Obstetrics
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Is postpartum urticaria contagious?

Postpartum urticaria is not contagious. The occurrence of urticaria is mainly an allergic reaction to various factors such as certain foods, medications, plants, or infections. Clinically, it mainly manifests as dilation and increased permeability of small blood vessels in the skin and mucosa, resulting in skin rashes and redness. However, this condition is related to a decrease in the body's immune strength, making postpartum urticaria more likely to occur after childbirth. Postpartum urticaria has a certain hereditary nature. When postpartum urticaria occurs, one should not scratch it to prevent breaking the skin and causing secondary infections. Avoid using irritating liquids for cleansing or hot water for washing. When itching occurs, topical antipruritic agents can be applied. It is advisable to eat fresh vegetables and fruits in daily life and avoid spicy and irritating foods.

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Written by Qu Jing
Dermatology
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Is urticaria contagious?

Urticaria, commonly known as hives, is not contagious. It is a localized edema of the skin and mucous membranes due to temporarily increased vascular permeability. Its pathological causes are not related to infection, thus it is not contagious. The specific cause of urticaria often remains unclear for many patients. Some cases are due to certain foods, such as animal proteins, seafood, fungi, and some food additives like tartrazine, balsam of Peru, and sulfites. Some cases are triggered by drugs such as penicillin and various vaccines. Others are caused by allergens inhaled through the respiratory tract or by contact with the skin; common examples include pollen, animal dander, dust, fungal spores, and dust mites, as well as some volatile cosmetics. Contact with certain items, such as insect bites, venomous insects, certain plants like nettles, or animal fur such as wool, can also trigger urticaria. Some cases may be related to physical factors such as exposure to cold, heat, sunlight, or pressure, all of which can potentially lead to the development of urticaria.

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Written by Zhang Jing
Dermatology Department
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Is there a difference between measles and urticaria?

Measles and hives are two completely different skin diseases. In terms of etiology, measles is caused by a viral infection, while hives are an allergic skin disease. Clinically, measles presents with diffuse red rash all over the body, accompanied by high fever and mucous membrane catarrhal symptoms, such as red eyes, excessive eye discharge, and so on. On the other hand, hives present with wheal-like skin lesions. Wheals refer to pale red or skin-colored raised lesions that can vary in shape and are usually quite large. They typically develop very rapidly and then subside within a few hours, with most wheals disappearing within 24 hours. Hives are also usually accompanied by severe itching.