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What Is The Cause And Treatment For Papular Urticaria?

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Posted on Wed, 9 Jul 2014
Question: Hello, I just discovered a rash. It does not itch. What do you think it is?
doctor
Answered by Dr. Charu Bansal (1 hour later)
Brief Answer:
papular urticaria/ allergic contact dermatitis

Detailed Answer:
Hello dear,
Welcome to healthcaremagic.
I have read your query and understood your concern.
I have seen the attached pic also. Thanks for attaching the pic.

I would like to know the following details :
1 ) what is the duration of the rash?
2 ) are the lesions persistent or transient?
3 ) any aggravating or relieving factor?
4 ) any recent intake or change of drugs?
5) any recent change or use of new clothing?
6) how about your blood sugar levels?

There are few differentials like papular urticaria/ allergic contact dermatitis etc which will be ruled out with the further details.

kindly get back to me with reply of the above questions so that I can help you to my best.
Stay healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charu Bansal (1 hour later)
Thank you for responding Dr. Bansal!

I have had the rash a couple of hours. I didnt know it was there until i happened to look at my arm, and then i checked the rest of my body and discovered that my thigh was effected. It itches, and definitely persistent. Now my back and other leg have the hives. My blood sugar is fine and I'm not on medication. The clothing is not new. I think the bumps are insect bites.
doctor
Answered by Dr. Charu Bansal (10 hours later)
Brief Answer:
Papular urticaria is most likely

Detailed Answer:
Hello dear,
Welcome again.

As per description and details, the most likely diagnosis is papular urticaria.
It is an allergic response of the body to the antigen in the blood due to the bite by an insect/mosquito.

I usually prescribe my such patients a combination cream of antibiotic and moderate potency steroid (like Momate F cream) to be applied twice daily over the lesions for 7-10 days.
Additionally you may take tablet levocetrizine/fexofenadine in night time.

I hope it helps.
If you have any further query, you may ask me.

Stay healthy
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charu Bansal (9 hours later)
Doctor does it get worse before it gets better? This is how it looks now. I attached a picture of the medication that I am using on the bites/hives as well. Thank you!
doctor
Answered by Dr. Charu Bansal (5 hours later)
Brief Answer:
it may get worse for few days

Detailed Answer:
Hello dear,
Welcome again.

It may take some time for the lesions to respond. Usually it starts responding after 5-7 days.
You may continue applying these medications Alongwith antihistaminics like Levocetrizine 5 mg nyt tym.

You may get back to me after a week of using medications.
or if you have any further query you may ask me.
Stay healthy.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Charu Bansal

Dermatologist

Practicing since :2010

Answered : 773 Questions

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What Is The Cause And Treatment For Papular Urticaria?

Brief Answer: papular urticaria/ allergic contact dermatitis Detailed Answer: Hello dear, Welcome to healthcaremagic. I have read your query and understood your concern. I have seen the attached pic also. Thanks for attaching the pic. I would like to know the following details : 1 ) what is the duration of the rash? 2 ) are the lesions persistent or transient? 3 ) any aggravating or relieving factor? 4 ) any recent intake or change of drugs? 5) any recent change or use of new clothing? 6) how about your blood sugar levels? There are few differentials like papular urticaria/ allergic contact dermatitis etc which will be ruled out with the further details. kindly get back to me with reply of the above questions so that I can help you to my best. Stay healthy.