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PUPPP - (pruritic urticarial papules and plaques of pregnancy)

This condition is the most common dermatosis (skin condition) of pregnancy. The cause was unknown until recently when Dr Selim Aracting and colleagues from France reported studies linking PUPPP with cells from the developing baby (foetus). Their studies suggest that foetal cells can invade the mother's skin during pregnancy, and in some way cause this skin disorder to develop.

Symptoms and signs


What: red raised spots or bumps that itch strongly.


Where: the rash usually starts on the abdomen and spreads to the thighs. Occasionally, the rash spreads to arms and buttocks. The face is never involved.


When: the rash usually appears after 34 weeks of pregnancy and disappears after childbirth, but can recur with subsequent pregnancy.


Complications

This condition causes no harm to mother or baby.


Treatment


Corticosteroids applied to the skin (topical) are known to give prompt relief.


Sometimes oral corticosteroids (eg prednisolone) are needed.

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"I am not young enough to know everything."
- Oscar Wilde (1854-1900)