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 chickenpox?

Chickenpox is caused by an infection with the varicella-zoster virus and is contagious. It is common among children, though some adults may also contract chickenpox. Once it appears, it is highly contagious and needs to be treated with antiviral medication. Papular urticaria is caused by allergies, often related to mosquito or flea bites. Standard antiallergic medication is typically sufficient for treatment. Occasionally, papular urticaria can present with small blisters similar to those seen in chickenpox, but they are different diseases. If it is difficult to distinguish between them, it is advisable to visit a dermatologist at a formal hospital for diagnosis and treatment.

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Written by Liu Gang
Dermatology
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Can chronic urticaria be cured?

Papular urticaria is an allergic disease that is related to contact with irritants or bites from mosquitoes, fleas, and other insects. It is also associated with an individual's allergic constitution. Therefore, while this condition can be clinically cured, recurrences cannot be completely prevented. After recovery, it is important to engage in regular exercise, avoid spicy and irritating foods, refrain from staying up late, and ideally not keep small animals at home. If small animals are kept, it is crucial to maintain their cleanliness and disinfect regularly. Bedding should be frequently exposed to sunlight and disinfected. Avoiding damp, unclean areas or places with dense vegetation and trees can help prevent insect bites and reduce the recurrence of the disease.

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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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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 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.