Papular urticaria- skin infestations

Question 1

where does it occur

Answer 1

mostly on the extremities of children

Question 2

what causes papular urticaria

Answer 2

immune reaction due to insect bites, fleas and bedbugs.

Question 3

how long does it take to resolve

Answer 3

May take several weeks to resolve

Question 4

what are the clinical features (4)

Answer 4

1. very itchy
2. erythematous papules, with predilection of extremities
   -May be generalized in severe disease
3. lack of burrows
4. lack of history of involvement in family members

Question 5

how can you manage papular uticaria

Answer 5

1. Prevent bites
   - Protective wear during susceptible times
   - treat house/environments known to be infested
2. Medical
   - Topical steroids
   - Treat any associated superinfection
   - Antihistamines for itch