title: Clinical study of papular urticaria.
abstract: OBJECTIVE
  To determine the clinical features and demographic profile of the patients having papular urticaria.
  
  
  METHODS
  A case-series.
  
  
  METHODS
  Dermatology Department of Combined Military Hospital, Abbottabad from January to December 2006.
  
  
  METHODS
  Individuals of all age groups and either gender either suspected of or having definite history of insect bite were included in the study. A specially-designed proforma was filled for each patient separately. The proforma included demographic features, information regarding clothing and sleeping habits, personal or family history of atopy and clinical patterns of the lesions. Computer programme SPSS 10 was used to manage and analyze the data.
  
  
  RESULTS
  Out of 280 patients, 201 (71.8%) were children upto 12 years of age, 178 (63.6%) were males, 91 (32.5%) had atopy, 194 (69.3%) were non-locals, 212 (75.7%) came from urban/peri-urban areas and 173 (61.8%) presented during May-August. Lesions were present over exposed parts of the body in 36 (12.9%), arranged in groups in 152 (54.3%) and were papular urticaria in 185 (66.1%) patients.
  
  
  CONCLUSIONS
  Children, adult males, non-locals and those belonging to urban/peri-urban areas are more vulnerable to papular urticaria in a particular region. Papular and urticarial lesions arranged in groups over both exposed as well as covered body parts of a single patient is the most common clinical pattern.
authors.affiliation: Department of Dermatology, Combined Military Hospital, Abbottabad/PAF Hospital Faisal, Karachi. naeemraza561@hotmail.com
authors.forename: Naeem
authors.initials: N
authors.lastname: Raza
authors.forename: Muhammad Saqib
authors.initials: MS
authors.lastname: Lodhi
authors.forename: Shoaib
authors.initials: S
authors.lastname: Ahmed
authors.forename: Nasser Rashid
authors.initials: NR
authors.lastname: Dar
authors.forename: Liaquat
authors.initials: L
authors.lastname: Ali
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000818:Animals; D001181:Arthropods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007299:Insect Bites and Stings / Q000150:complications*; D008297:Male; D010154:Pakistan / Q000453:epidemiology; D012621:Seasons; D012737:Sex Factors; D014505:Urban Population; D014581:Urticaria / Q000209:etiology*