There is no standardized treatment for pigmented urticaria, which is mainly treated with symptomatic medications. Treatment can use mast cell membrane stabilizers such as sodium cromoglycate; antihistamines, such as ipratropium, cyproheptadine, ketotifen, etc., can relieve itching, but also can reduce the brown papules. Topical glucocorticosteroids such as mometasone furoate and calcium-modulated neural phosphatase inhibitors such as tacrolimus can also assist in improving the condition. Specific should be standardized treatment under the guidance of a doctor, not indiscriminate use of drugs to avoid delay.