291 results match your criteria: "Urticaria Papular"

Erythema nodosum as first clinical sign of acute Borrelia burgdorferi infection.

Braz J Infect Dis

December 2024

Onkoderma- Clinic for Dermatology, Venereology and Dermatologic Surgery, Bulgaria; Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Bulgaria.

Article Synopsis
  • Lyme borreliosis, commonly known as Lyme disease, is a worldwide tick-borne infection caused by the Borrelia burgdorferi species, often starting with a distinctive erythema migrans rash at the bite site.
  • Other skin symptoms may also appear initially, leading to potential misdiagnosis and treatment delays, highlighting the need for comprehensive evaluation of clinical findings, serology, and histology.
  • A case of a 78-year-old woman revealed erythema nodosum as her initial manifestation following a tick bite; she was effectively treated with antibiotics and anti-inflammatory medications, and prescribed adjustments for her outpatient care.
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Severity of papular urticaria in children is associated with specific IgG4 anti-salivary gland antigens from Aedes aegypti.

Eur Ann Allergy Clin Immunol

July 2024

Laboratório Interdisciplinar de Pesquisas Médicas, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil.

Article Synopsis
  • - Papular Urticaria (PU) is a common skin sensitivity condition caused by insect bites, particularly in tropical areas, but there are still many unknowns about it.
  • - This study aimed to analyze children's immune responses to mosquito antigens in relation to the severity of PU symptoms, using clinical data and blood samples to measure specific antibodies.
  • - Results indicated that 58.9% of children had high severity scores for PU, with significant correlations found between severity and early onset of symptoms, as well as higher levels of IgG4 antibodies against mosquito saliva.
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Article Synopsis
  • The case describes a 53-year-old woman with a history of skin rashes that were initially thought to be urticaria but were later diagnosed as dermatitis herpetiformis after various tests and treatments failed to provide relief.
  • The patient had an existing condition of diffuse large B cell lymphoma in remission and experienced herpetiform lesions since 2010, which led to further investigation including a skin biopsy and antibody testing.
  • The conclusion emphasizes the need for careful diagnosis in chronic urticaria cases that don’t respond to standard treatments, highlighting the importance of a multidisciplinary approach and continuous patient monitoring due to potential side effects of prescribed treatments like dapsone.
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Article Synopsis
  • A rare case of cytomegalovirus (CMV) infection in a 70-year-old man was reported, who also had hepatitis B and exhibited several skin lesions.
  • The patient had not taken antiviral drugs in nearly 13 years and was recently experiencing severe liver damage, with lab results indicating active CMV infection.
  • After starting a combination antiviral treatment for both CMV and hepatitis B, the man showed improvement in liver function and was discharged after three weeks, although the skin lesions persisted.
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Article Synopsis
  • A study was conducted to investigate how weather and air pollution affect visits to dermatology outpatient clinics for dermatitis cases like papular urticaria and scabies in Guangzhou, China, using data from 2015-2020.
  • Findings indicate that short-term temperatures significantly influence the number of daily visits, with high predictive value, especially with a one-day lag in temperature effects.
  • In contrast, air pollution has little to no impact on daily visits, and other factors like weekdays and holidays are also influential but with lesser predictive abilities.
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Article Synopsis
  • - The study analyzes skin diseases in Trinidad and Tobago, comparing prevalence and types between hospital dermatology clinics and primary care facilities, with a total of 1309 cases highlighted, including conditions like connective tissue disease and rosacea.
  • - It focuses on pediatric dermatology conditions treated in primary care versus hospital clinics, shedding light on how these settings differ in managing younger patients' skin issues.
  • - The research also examines disparities in waiting times, referral sources, and laboratory service utilization between primary care health facilities and hospital clinics, indicating different healthcare dynamics in treating skin diseases.
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Article Synopsis
  • Mosquito allergy manifests mainly as skin reactions during and after bites, along with other allergic responses like asthma, linked to different allergens from the mosquitoes.
  • There are two primary types of mosquito allergy: cutaneous reactions triggered by salivary allergens and respiratory reactions due to somatic allergens, with cutaneous reactions being the main focus of research.
  • Despite limited studies on immunotherapy for mosquito-related allergies, symptom management and preventative measures against mosquito bites remain the primary approaches in clinical practice, highlighting a need for further research in this area.
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Is there still yaws in Nigeria? Active case search in endemic areas of southern Nigeria.

PLoS Negl Trop Dis

November 2023

German Leprosy and Tuberculosis Relief Association (GLRA), Enugu, Nigeria.

Article Synopsis
  • Yaws, caused by the Treponema pallidum subspecies pertenue bacteria, primarily affects children under 15 and was once common in Nigeria, but eradication efforts have significantly reduced its prevalence.
  • A recent study involved screening 105,015 school children in southeast Nigeria for yaws, with trained volunteers identifying 7,706 children with various skin issues.
  • Despite eight suspected yaws cases, none were confirmed, highlighting the need for ongoing community awareness and active case-finding initiatives against yaws in the region.
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Don't we overestimate drug allergies in children?

Int J Occup Med Environ Health

November 2023

Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Department of Pediatrics and Allergy).

Article Synopsis
  • About 10% of parents report their children having hypersensitivity to at least one drug, but only 16.8% of those cases are confirmed as drug allergies through tests.
  • The study involved 113 children aged 4-18 who were subjected to various allergy tests after experiencing adverse reactions to medications.
  • A history of previous allergies significantly increased the likelihood of drug allergies, with the most common symptoms being urticaria and erythematous papular rash.
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Article Synopsis
  • The study investigates the dermatological manifestations of COVID-19 in children, particularly noting the prevalence of chilblain-like lesions among infected and non-infected patients, attributed to a pronounced interferon response in younger individuals.
  • Conducted over six months, the research involved 137 patients aged 1 to 18 from 23 Italian dermatological units, who exhibited a variety of skin lesions primarily on the feet.
  • Results showed diverse skin symptoms, with many experiencing concomitant systemic symptoms, highlighting the complex interplay of dermatological and respiratory issues related to COVID-19 in children.
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Article Synopsis
  • - Bed bug infestations have surged globally, necessitating awareness and proper identification for effective treatment and eradication.
  • - Bed bug bites are usually painless, presenting as itchy, red bumps that can appear in clusters or a linear pattern, with specific features suggesting bed bug activity.
  • - Treatment is mainly symptomatic, involving antihistamines and topical corticosteroids, alongside integrated pest management strategies that include cleaning, monitoring, and both nonchemical and chemical interventions for eradication.
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Article Synopsis
  • - The study aimed to investigate dermatological symptoms associated with COVID-19 in Brazil, as existing data on this topic in Latin America is limited.
  • - Researchers analyzed 50 patients with new-onset skin symptoms, finding that maculopapular eruptions were the most common lesions, and many patients displayed these symptoms in conjunction with other COVID-19 indicators.
  • - Despite the small sample size and being conducted in a single hospital, the findings suggest that the types and proportions of skin manifestations in Brazilian patients align with those observed in studies from Europe, highlighting the need for further research.
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Pigeon mite: An underdiagnosed cause of papular urticaria.

Allergol Immunopathol (Madr)

March 2023

Department of Pediatrics, Division of Allergy and Clinical Immunology, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran;

Article Synopsis
  • Bird mites live on baby birds and can accidentally bite humans, causing itchy skin problems.
  • A 14-year-old boy had itchy bumps on his skin that felt like bugs moving around, and it didn’t get better with regular medicine.
  • After cleaning their balcony where baby pigeons were nesting, the boy's itchy skin problem got resolved, showing that bird mites should be checked for when people have unexplained itching.
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Article Synopsis
  • The study investigates the skin-related symptoms (cutaneous manifestations) of COVID-19 in 5460 RT-PCR-positive patients across various categories over six months.
  • Among these patients, 1.9% exhibited skin issues, predominantly identified as vasculitis (24%) and maculopapular rash (19%).
  • The findings suggest that severe COVID-19 is associated with more significant skin issues like vasculitis, which correlates with disease severity, while more common rashes like urticaria are transient and not indicative of severity.
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Bedbugs: how to diagnose and manage cases of infestations.

Clin Exp Dermatol

April 2023

Department of Dermatology, St Mary's Hospital, Portsmouth University Hospital NHS Trust, Portsmouth, UK.

Article Synopsis
  • Bedbugs are increasing in urban areas globally, potentially due to bans on certain pesticides.
  • They are flat insects that primarily feed on human blood, and their bites are typically non-toxic, making them hard to detect but can lead to various skin reactions.
  • Effective eradication of bedbugs usually involves a combination of physical methods, like high temperatures and traps, and chemical treatments that include specific insecticides.
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Article Synopsis
  • Pyemotidae mites are ectoparasitoids known for causing "straw itch," particularly affecting granary and dock workers since the 18th century.
  • They are categorized into two groups: the nonvenomous scolyti group, which targets bark beetles, and the more harmful ventricosus group, which affects a wider range of hosts and can be poisonous to humans.
  • Human infections, particularly in spring and summer, lead to skin conditions like "strophulus," which manifests as itchy lesions; effective treatment requires diagnosing the infestation and eliminating infested materials.
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Article Synopsis
  • - Cholinergic urticaria (CholU) is a type of chronic hives characterized by itchy, painful bumps that occur with sweating, and this review explores its subtypes and their link to anhidrosis (lack of sweating).
  • - The review covers various aspects of CholU, such as its epidemiology, symptoms, diagnoses, underlying mechanisms, and treatment options, revealing complex contributing factors like histamine response and sweat issues.
  • - A key finding is the need to classify CholU based on its causes and symptoms to improve treatment effectiveness, suggesting that understanding sweating abnormalities is crucial in managing this condition.
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Article Synopsis
  • - The study aimed to analyze skin reactions to the Moderna and Pfizer-BioNTech COVID-19 vaccines using data from the Vaccine Adverse Event Reporting System, focusing on cutaneous symptoms and patient demographics.
  • - As of December 24, 2021, there were over 67,000 reported skin reactions, mainly injection-site reactions, urticaria, and papular rash, with differences noted between the two vaccines regarding reaction types.
  • - The findings suggest that most skin reactions are mild, occur shortly after vaccination, and patients with a history of certain skin conditions are more likely to experience similar reactions; counseling on these responses is recommended to reassure patients about vaccine safety.
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Eosinophilic dermatosis in a patient with chronic lymphocytic leukemia: a rare case report.

Acta Dermatovenerol Alp Pannonica Adriat

December 2021

Hematological Laboratory, Second Department of Internal Medicine, Aristotle University, Hippokration Hospital, Thessaloniki, Greece.

Article Synopsis
  • Chronic lymphocytic leukemia (CLL) is a cancer that causes uncontrolled growth of B-cells, and patients can develop skin lesions that are either specific to the leukemia or non-specific.
  • Specific skin eruptions are due to leukemic cell infiltration, while non-specific lesions can include conditions like petechiae, purpura, and eosinophilic dermatosis.
  • The case study focuses on a 58-year-old woman with a history of B-CLL who presented with a diffuse vesicular pruritic rash, following treatment with immuno-chemotherapy.
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Article Synopsis
  • Papular urticaria is a skin reaction caused by insect bites, especially from bugs like bedbugs and mosquitoes.
  • In a study with 20 kids who had this problem from bedbugs, some received a special treatment called immunotherapy, while others got regular treatment for a year.
  • The kids who had immunotherapy reported much less itching and better quality of life compared to those who had the regular treatment.
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Clinical and pathologic correlation of cutaneous COVID-19 vaccine reactions including V-REPP: A registry-based study.

J Am Acad Dermatol

January 2022

Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Medical Practice Evaluation Center, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts. Electronic address:

Article Synopsis
  • The study examined skin reactions following COVID-19 vaccinations by reviewing reports from an international registry, focusing on those with available skin biopsy data.
  • Out of 803 reported reactions, 58 cases had sufficient biopsy information, with spongiotic dermatitis being the most frequent histopathologic finding and led to the proposal of the acronym "V-REPP" for these reactions.
  • The research identified 12 additional clinical patterns of skin reactions related to the vaccine, although it noted limitations in the data, indicating that not all cases could be analyzed for incidence rates.
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Article Synopsis
  • Wells syndrome is a rare skin condition that resembles cellulitis, causing tender, itchy eruptions, with symptoms including various skin lesions and a strong presence of eosinophils during acute phases.* -
  • A case study highlights a 30-year-old woman who experienced recurring cellulitis-like symptoms for 5 years, leading to unnecessary antibiotic treatments and ultimately a Clostridioides difficile infection.* -
  • The report stresses the importance for doctors to carefully diagnose skin conditions like Wells syndrome to avoid misdiagnosis, prevent inappropriate antibiotic use, and combat the rise of antibiotic-resistant infections.*
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Prurigo Simplex or "Itchy Red Bump" Disease: Review and Case Series.

Acta Derm Venereol

September 2021

Department of Clinical Sciences Lund, Dermatology and Venereology, Lund University, Skane University Hospital, SE-221 85 Lund, Sweden.

Article Synopsis
  • Prurigo simplex, also known as "itchy red bump" disease, is a controversial skin condition characterized by persistent itchy bumps.
  • This study aimed to establish clear diagnostic criteria by reviewing 32 relevant studies and analyzing medical records of 50 patients diagnosed with prurigo.
  • Results showed that only 5 out of 50 patients matched established definitions, with treatment options like long-term methotrexate or cyclosporine effectively relieving symptoms.
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[Not Available].

Rev Alerg Mex

October 2021

Universidad Federal de Río de Janeiro, Hospital Clementino Fraga Filho, Departamento de Inmunología Clínica, Río de Janeiro, Brasil.

Article Synopsis
  • TempTest® employs the Peltier effect to diagnose cold and heat urticaria by measuring temperature variations in patients.
  • A study analyzed medical records of 12 patients from Rio de Janeiro who had a history of temperature-related urticaria, testing their reactions to temperature provocations using TempTest®.
  • Results indicated that 3 patients had heat urticaria and 9 had cold urticaria, with the test proving effective in diagnosing these conditions and aiding in patient safety.
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Pityriasis rubra pilaris post-infection due COVID-19: case report.

Colomb Med (Cali)

March 2021

Universidad San Ignacio de Loyola, Lima, Perú. Universidad San Ignacio de Loyola Universidad San Ignacio de Loyola Lima Peru.

Article Synopsis
  • - A 32-month-old boy, who tested positive for SARS-CoV-2, was admitted to the emergency room due to skin lesions, including redness and itching on his hands and feet.
  • - He was diagnosed with pityriasis rubra pilaris by a dermatologist and treated with a rehydrating cream, cetirizine, and prednisolone for 14 days; although improvements were seen, some lesions remained.
  • - After three months, the boy's skin condition significantly improved, and the report highlights the unusual association between pityriasis rubra pilaris and a previous SARS-CoV-2 infection, which had not been documented before.
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