Papular urticaria, usually called hives, is characterized by large numbers of very itchy red bumps (papules) that come and go every few days over a period of a month or so. The bumps are usually between 0.2 and 2 cm. in size and some may develop into fluid-filled blisters (bullae). This condition is usually triggered by allergic reactions to insect bites, sensitivity to drugs, or other environmental causes. In some cases, swelling of the soft tissues of the face, neck, and hands (angioedema) may also occur.

Because it is difficult for children and adults to resist scratching these itchy crusted bumps, the possibility of infection is great and caution must be taken. Papular urticaria may accompany, or even be the first symptom of various viral infections including hepatitis, infectious mononucleosis, or German measles (rubella). Some acute reactions are unexplained, even when recurrent.

Papular urticaria usually appears as itchy, red Bumps or Blisters on top of the skin. Some Blisters can appear in clusters on the body. The Bumps are usually symmetrically distributed, and each bump is usually between 0.2 and 2 centimeters in size.

Papular urticaria can appear on any part of the body. The Bumps and Blisters can disappear and reappear on the skin. After a blister disappears, it sometimes leaves behind a dark mark on the skin.

Symptoms usually appear in the late spring and summer. The Lesions of papular urticaria can last for days to weeks before clearing up. Since the Rash can disappear and reappear, symptoms can recur for weeks or months. The Bumps can reappear because of new insect bites and stings, or continued environmental insect exposure.

Sometimes secondary infections appear because of scratching. Scratching the itchy Bumps and Blisters can break open the skin. That increases your risk for infection.

Papular urticaria is not contagious. It can appear because of an allergic reaction to the presence of insects. Some of the common causes of papular urticaria are bites from:

• mosquitoes
• fleas (the most common cause)
• mites
• carpet beetles
• bed bugs

Several treatment options are available for papular urticaria. Most of them address the symptoms of the condition.

Medications your doctor may prescribe or recommend include:

• topical steroids
• oral anti-inflammatory corticosteroids
• systemic antihistamines
• topical or oral antibiotics

Over-the-counter options include:

• calamine or menthol lotions and creams
• oral antihistamines

These treatment options may be appropriate for children. Talk to your doctor about treatments that are safe for your child. Your doctor can also help you determine the correct dosage.

The condition is more common among children between the ages of 2 and 10. Papular urticaria is not as common among adults, but it can occur in anyone.

Papular urticaria is an allergic reaction caused by insect bites, sensitivity to drugs, or other environmental causes.

• The risk of this disease is on 1-6-year-old children, Fleas and mosquito are the insects that are associated with this type of disease, and other insects also creates skin infections.
• As a result of this disease, large numbers of itchy red bumps come and disappear for a period of a month, size of this are 0.2 to 2 cm, and also some may be converted into fluid-filled blisters and also swelling of the soft tissues of the face, neck, and hands may also occur.
• In this disease, possible caution must be taken. Otherwise, it may take to viral infections like hepatitis, infectious mononucleosis, or German measles (rubella) in some cases.
• This is a self-limiting disease, so firstly, all nonessential medications should be stopped until a particular reaction has subsided, topical soothing agents such as calamine lotion or oral antihistamine can give relief to itching and swelling on the skin.
• Corticosteroids are also useful for more reactions. Certain drugs, alcoholic consumption, and tobacco should be avoided during these conditions.
• Stronger steroid creams can be used to manage discomfort, and treatments like the following are also useful for this disease.
• oral antihistamine medication
• antiseptic cream
• steroid cream
• Other sources of infections can be found and removed like household pets, wearing protective clothing, controlling fleas and insects in the house and other social places like schools play gardens, etc., praying an area with insecticide, checking mattresses for signs of bed bugs, treating carpets with a pyrethroid spray.

Symptoms
Itching,Appearance of elevated ridges (wheals),Swelling,Lesion may remain for several hours
Conditions
Pruritus,Wheals,Erythema,Edema
Drugs
Mild topical steroids,Systemic antihistamines