A chronic hives-like skin rash that strikes some women
during the period of their pregnancy is commonly known in the United
States as pruritic urticarial papules and plaques of pregnancy
(PUPPP). However, in the United Kingdom, it is usually referred to
as polymorphic eruption of pregnancy (PEP). There is no long-term risk
for the mother or the unborn child, but still its itchiness can create
a lot of problems for the patient. In most cases, pruritic
urticarial papules and plaques of pregnancy begins on the stomach
and spreads to other body parts, such as the legs, feet, arms, chest,
Urticarial papules are
solid elevations of skin with no visible fluid inside. Their size may
vary from a pinhead to as large as a fifty-cent piece or larger. Their
color can be brown, purple, pink, or red. The patient should avoid
scratching them to avoid infection.
Pruritic urticarial papules
are a mild dermatosis, usually arising late in the third trimester of
pregnancy. Previously, they had been reported as toxemic rash of
pregnancy and late-onset prurigo of pregnancy.
Papules and Plaques
PUPPP is also known as
Pruritic Urticarial Papules and Plaques, Late-onset prurigo of
pregnancy, Toxic Erythema of pregnancy, and Toxemic rash of pregnancy.
Papules of Pregnancy
Though not a genuine
medical terminology, some individuals refer to PUPPP as Pruritic
Urticarial Papules of Pregnancy.
Papules and Plaques of Pregnancy Treatment
The patient may apply
topical moisturizing creams or aqueous or emollient ointments on the
affected area. For more aggressive cases, Class I or II corticosteroid
creams and ointments are used.
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