ABSTRACT
It is common knowledge that in dealing with a child with severe papular urticaria, the problem is to break the vicious circle in which the papules are accompanied by irritation, and the scratching produces papules. In an epidemic, a medical officer of health, experienced in the diagnosis of smallpox, sent to an isolation hospital an afebrile child who had been under the care for some weeks, a severe case of papular urticaria. This chapter provides cases elsewhere and discusses the different conditions. Papular urticaria is so common that one hesitates to give cases. The very existence, in print, of a case history is apt to give the impression that the condition is a disease; whereas no amount of recording histories can adequately represent to those who are not in touch with clinical paediatrics the extreme commonness, almost universality, of the condition.
