Papular urticaria: the symptoms and treatment of the disease

Welcome, dear readers. Often you can see a man with large red spots that are similar to nettle burn, only darker and rougher.

Often such people have no desire to talk to, because everyone thinks that the disease is contagious. But few people realize that it is papular urticaria – the disease cannot be transmitted from person to person.

So how to distinguish this disease from others and is it possible to cure the disease? Try to understand.

What is a papular urticaria?

Папулезная крапивница: симптомы и лечение заболеванияUrticaria is an allergic disease which mainly manifests itself in the form of rash, blisters, accompanied by itching and swelling.

It can be one-time or continue throughout a person’s life. One such species is considered to be papular urticaria.

In this form of the disease on the surface of the skin papular blisters are formed, while in normal hives rash are formed with a slight swelling. Papule is different from the rash that rises above the skin.

If a person is observed papular urticaria, then edema is added to the existing cell infiltration, resulting in blisters like swell.

In the photo you can see the skin under the lesions.

What is this disease?

Папулезная крапивница: симптомы и лечение заболеванияIn fact, the causes of papular or resistant forms of urticaria are the same as with a normal disease.

It also causes the allergen or certain effects (sun rays, water, mechanical failure, medical supplies, food, pet hair, dust, etc.).

In the papular form may develop any form of urticaria, as it’s not really a provoking factor, and in higher body reaction, resulting in histamine is allocated over a long period of time.

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As a result, the tissues accumulate fluid, leading to swelling. Papular urticaria starts to develop in the case when the rash and blisters keep a long time on the skin.

Note that the disease is considered chronic and can stay on the skin for months. This disease has another name – resistant urticaria.


Папулезная крапивница: симптомы и лечение заболеванияImagine this situation: a person has constant contact with the allergen or precipitating factor (working in the cold water goes in latex gloves, vet, etc). Because of this, the organism reacts strongly to the effects.

Every day the rash becomes more resistant, due to which the blisters are converted into papules. As the skin constantly acts provoking factor, the formation of new blisters, which are also transformed into papules.

Thus, the disease progresses, and if it is accompanied by itching, it brings the patient a lot of inconvenience and suffering.

This type of urticaria can occur in young children. This is often due to allergies to some foods, for example milk or a mixture.

According to statistics, the disease affects women more often than men, although in childhood the disease affected both sexes in the same ratio.

Папулезная крапивница: симптомы и лечение заболеванияSo, the main symptoms of papular urticaria is:

  • Hyperpigmentation of the skin – acanthosis;
  • Rash in form of papules with red-brown or plain urticari (the initial stage);
  • The keratinization and thickening of skin, hyperkeratosis;
  • Itching.

For hyperpigmentation some parts of the body darker. Tend to suffer skin folds.

Doctors often confuse this disease with pigmentary urticaria, especially since these stains may have signs of hyperkeratosis.

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If you do not treat the disease, then over time the skin becomes rough, hard, and after disappearance of the papules on the body will remain ugly scars.

Moreover, when combing you can peel the blister, whereby there is a possibility of exposure of infection. Then it will be necessary to cure for several ailments that will only aggravate your condition.

How to treat papular urticaria?

Папулезная крапивница: симптомы и лечение заболеванияTreatment of the disease is the same as for other types. It is based on taking antihistamines, local therapy in the form of ointments, as well as strengthening the immune system.

The most effective are antihistamines 2 and the following generations, such as Cethrin, Zyrtec and other. For children produced drops (Fenistil and Zyrtec) and they can give her, but at ¼ tablet (1st month of life).

In this form of disease are often prescribed glucocorticosteroid medicines (hormonal medicines).

Remember, they appoint a doctor (without a prescription they are not sold) and the therapy is done under his supervision. These medicines come in the form of tablets, ointments and injections.

The course of treatment for each individual, but usually is 10-14 days, followed by a break. For children, they are rarely appointed because they have many undesirable side effects.

Be sure before you begin treatments, you need to identify the source of the allergen. Adults and children can be allergic tests. Additionally assigned testing of feces, urine, blood for identification of comorbidities. Also performed ultrasound diagnostics.

It is very important for full recovery and avoid recurrences permanently adhere to the hypoallergenic diet, especially if papular urticaria caused a certain food product.

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Doing this is very difficult because allergies can occur to anything, not always a person can keep track of the components of the dish.


So, papular urticaria is a very serious and complex in the treatment of disease. Often the treatment lasts for years, which begs the addictive drug.

Can also exhibit side effects and you will have to get rid of them with other medicines.

To avoid this, try to carefully monitor your health and at the first signs of occurrence of urticaria (any form) to go to the doctor. Be healthy!

Author: Anna Derbeneva (dermatologist)