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Papular Urticaria

Epidemiology
1. Seen in infants and children following Insect Bites
Etiology
1. ID Reaction response to Insect Bites
Signs
1. Generalized pruritic rash
2. Fine, firm Papules and papulovesicular lesions
3. Appear in clusters
  1. Trunk
  2. Extensor arms and legs
Course
1. May persist for 2-12 days
2. Recurrent Arthropod Bites may give prolonged reaction
3. Lesions may become hyperpigmented
  1. Excoriation provokes Hyperpigmentation response
Management
1. Antihistamines
2. Calamine lotion

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This page was written by Scott Moses, MD, and was last revised 1/13/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 5.0.