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Department
Pediatric Dermatology
Papular Urticaria
Stibich AS, Schwartz RA
Cutis
. 2001;68:89-91.
Papular urticaria is a common and often distressing childhood disorder manifested by chronic or recurrent papules caused by a hypersensitivity reaction to the bites of mosquitoes, fleas, bedbugs, and other insects. Individual papules may surround a wheal and often have a central punctum. The histopathology of papular urticaria consists of mild subepidermal edema, extravasation of erythrocytes, interstitial eosinophils, and exocytosis of lymphocytes. Papular urticaria may represent a clinical challenge, particularly during spring and summer months.
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