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DermAtlas: LEG - insect bite reaction
© 2001-2009, DermAtlas
Image Name: papular_urticaria_1_090819   File Type: jpg
Diagnosis: INSECT BITE REACTION /
PAPULAR URTICARIA
  Category: environmental injury /
hypersensitivity /
linear eruptions
Body Site: leg / back   Age: 4 years
Contributor: Bernard Cohen, MD    
Description: uniform edematous papules with central crusting and hypopigmentation and peripheral hyperpigmentation grouped in a linear pattern
Comments: This healthy 4-year-old girl developed a chronic and recurrent pruritic papular eruption on exposed areas particularly the legs 6 months ago. The lesions began as edematous red papules many with a central vesicle. Scratching led to central crusting and hypopigmentation with a surrounding hyperpigmented ring.
Related Images: All related Images  papular_urticaria_3_090819  papular_urticaria_2_090819 

DermAtlas: LEG - insect bite reaction
© 2001-2009, DermAtlas
Image Name: papular_urticaria_2_090819   File Type: jpg
Diagnosis: INSECT BITE REACTION /
PAPULAR URTICARIA
  Category: environmental injury /
hypersensitivity /
linear eruptions
Body Site: leg / back   Age: 4 years
Contributor: Bernard Cohen, MD    
Description: uniform edematous papules with central crusting and hypopigmentation and peripheral hyperpigmentation grouped in a linear pattern
Comments: This healthy 4-year-old girl developed a chronic and recurrent pruritic papular eruption on exposed areas particularly the legs 6 months ago. The lesions began as edematous red papules many with a central vesicle. Scratching led to central crusting and hypopigmentation with a surrounding hyperpigmented ring.
Related Images: All related Images  papular_urticaria_3_090819  papular_urticaria_1_090819 

DermAtlas: LEG - insect bite reaction
© 2001-2009, DermAtlas
Image Name: papular_urticaria_3_090819   File Type: jpg
Diagnosis: INSECT BITE REACTION /
PAPULAR URTICARIA
  Category: environmental injury /
hypersensitivity /
linear eruptions
Body Site: leg / back   Age: 4 years
Contributor: Bernard Cohen, MD    
Description: uniform edematous papules with central crusting and hypopigmentation and peripheral hyperpigmentation grouped in a linear pattern
Comments: This healthy 4-year-old girl developed a chronic and recurrent pruritic papular eruption on exposed areas particularly the legs 6 months ago. The lesions began as edematous red papules many with a central vesicle. Scratching led to central crusting and hypopigmentation with a surrounding hyperpigmented ring.
Related Images: All related Images  papular_urticaria_2_090819  papular_urticaria_1_090819 

DermAtlas: FOOT - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_4_090818   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
INSECT BITE REACTION
  Category: environmental injury /
hypersensitivity
Body Site: foot / ankle   Age: 26 years
Contributor: Bernard Cohen, MD    
Description:
Comments: This healthy young adult developed an intensely pruritic eruption on his feet after walking barefoot in the garden 3 days ago. Note the uniformity of the fixed edematous papules with surrounding pallor and the organization of lesions in a linear pattern.
Related Images: All related Images  papular_urticaria_1_090818  papular_urticaria_2_090818  papular_urticaria_3_090818 

DermAtlas: FOOT - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_3_090818   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
INSECT BITE REACTION
  Category: environmental injury /
hypersensitivity
Body Site: foot / ankle   Age: 26 years
Contributor: Bernard Cohen, MD    
Description:
Comments: This healthy young adult developed an intensely pruritic eruption on his feet after walking barefoot in the garden 3 days ago. Note the uniformity of the fixed edematous papules with surrounding pallor and the organization of lesions in a linear pattern.
Related Images: All related Images  papular_urticaria_1_090818  papular_urticaria_2_090818  papular_urticaria_4_090818 

DermAtlas: FOOT - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_2_090818   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
INSECT BITE REACTION
  Category: environmental injury /
hypersensitivity
Body Site: foot / ankle   Age: 26 years
Contributor: Bernard Cohen, MD    
Description:
Comments: This healthy young adult developed an intensely pruritic eruption on his feet after walking barefoot in the garden 3 days ago. Note the uniformity of the fixed edematous papules with surrounding pallor and the organization of lesions in a linear pattern.
Related Images: All related Images  papular_urticaria_1_090818  papular_urticaria_3_090818  papular_urticaria_4_090818 

DermAtlas: FOOT - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_1_090818   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
INSECT BITE REACTION
  Category: environmental injury /
hypersensitivity
Body Site: foot / ankle   Age: 26 years
Contributor: Bernard Cohen, MD    
Description:
Comments: This healthy young adult developed an intensely pruritic eruption on his feet after walking barefoot in the garden 3 days ago. Note the uniformity of the fixed edematous papules with surrounding pallor and the organization of lesions in a linear pattern.
Related Images: All related Images  papular_urticaria_2_090818  papular_urticaria_3_090818  papular_urticaria_4_090818 

DermAtlas: ARM - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_4_081101   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
BITE, INSECT /
INSECT BITE REACTION
  Category: reactive erythema /
environmental injury
Body Site: arm / forearm   Age: 53 years
Contributor: Bernard Cohen, MD    
Description: linear group of edematous red uniform 4-5 mm papules some with central crust
Comments: This 53-year-old man developed an intensely pruritic cluster of red papules on his right forearm. The lesions persisted for several weeks. Although the source was never identified, he had his house exterminated because of concerns about bed bugs.
Related Images: papular_urticaria_3_081101 

DermAtlas: ARM - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_3_081101   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
BITE, INSECT /
INSECT BITE REACTION
  Category: reactive erythema /
environmental injury
Body Site: arm / forearm   Age: 53 years
Contributor: Bernard Cohen, MD    
Description: linear group of edematous red uniform 4-5 mm papules some with central crust
Comments: This 53-year-old man developed an intensely pruritic cluster of red papules on his right forearm. The lesions persisted for several weeks. Although the source was never identified, he had his house exterminated because of concerns about bed bugs.
Related Images: papular_urticaria_4_081101 

DermAtlas: HAND - papular urticaria
© 2001-2009, DermAtlas
Image Name: Bullous_Pap_Urticaria_1_080902   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
INSECT BITE REACTION
  Category: infections and infestations /
vesiculobullous eruptions
Body Site: hand   Age: 18 months
Contributor: Will Sorey, MD    
Description: cluster of 5-8 mm vesicles on a red edematous base
Comments: This 18-month-old by was evaluated for recurrent itchy blisters on the tops of his hands. According to his parents, there were many mosquitos and fleas in the neighborhood. The case was prepared by University of Mississippi medical student Courtney Therrien

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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