Pruritic Urticarial Papules and Plaques of Pregnancy

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, and neck.

Urticarial Papules

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

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.

Pruritic Urticarial 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.

Pruritic Urticarial Papules of Pregnancy

Though not a genuine medical terminology, some individuals refer to PUPPP as Pruritic Urticarial Papules of Pregnancy.

Pruritic Urticarial 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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