Presentation
Although the clinical presentation of this patient was typical of that of PUPPP, it demonstrates an unusual time course with its postpartum presentation. [ncbi.nlm.nih.gov]
Pruritic urticarial papules and plaques of pregnancy presenting in the postpartum period is extremely rare. [mdedge.com]
Entire Body System
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HELLP Syndrome
National Library of Medicine Previous Document: Plasma VEGF levels are increased in women with severe preeclampsia or HELLP syndrome Next Document: Investigation of a fetal heart-rate pattern that shows a reduced oscillation amplitude [biomedsearch.com]
Gastrointestinal
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Food Poisoning
[…] disease Lupus Antiphospholipid antibody syndrome Anti-thyroid autoantibodies Placenta abnormality Previous miscarriage Eating disorders bulimia nervosa and anorexia nervosa Hyperemesis gravidarum Illicit or recreational drugs Caffeine Thyroid disorders Food [howlingpixel.com]
Skin
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Papule
Pruritic Urticarial Papules and Plaques of Pregnancy derm/351 at eMedicine Brzoza Z, Kasperska-Zajac A, Oleś E, Rogala B (Jan–Feb 2007). "Pruritic urticarial papules and plaques of pregnancy". [en.wikipedia.org]
RESULTS: The clinical features in 57 patients with PUPPP were categorized into three types: mainly urticarial papules and plaques (type I), nonurticarial erythema, papules, or vesicles (type II), and combinations of the two forms (type III). [ncbi.nlm.nih.gov]
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Eczema
However over half develop multiple forms (polymorphic) with erythema (redness), vesicle s (small blisters), and targetoid and eczema tous (eczema-like) lesions. [en.academic.ru]
Home About Categories Skin Infections Bacterial Infections Viral Infections Fungal Infections Parasitic Infestations Eczema Psoriasis Acne and Rosacea Photosensitive Dermatoses Pigmentary Disorders Connective Tissue Disorders Skin Tumours Metabolic Disorders [dermatologyoasis.net]
Some common causes are Allergic reactions to food, insect bites, pollen, and medicines Skin conditions such as eczema, psoriasis, and dry skin Irritating chemicals, cosmetics, and other substances Parasites such as pinworms, scabies, head and body lice [icdlist.com]
E for the treatment of inflammatory skin conditions.74 Although there appear to be no contraindications to its use topically or internally (with the exception of rare allergy), herbalists have noted that with some conditions, for example, pediatric eczema [aibolita.com]
A skin biopsy of the rash is only performed if the doctor suspects another cause such as: • Eczema of pregnancy. • Atopic Eruption of Pregnancy (AEP) previously called prurigo of pregnancy. • Pruritic folliculitis of pregnancy: widespread itchy rash. [womens-health-advice.com]
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Urticaria
[…] plaques of pregnancy Member Rated 0 Patient case no. 235 Date added 03 November 2003 Patient details Age --Undetermined-- Localisation Trunk / abdomen Primary Lesions Papule / erythematous Plaque / erythematous Pathophysiology pregnancy-related dermatoses urticaria [dermquest.com]
One week after starting this medication, the pruritus had resolved and the erythema/urticaria had abated; the pigmentary alteration had improved, but still remained. The PUPPP did not return after parturition. [ncbi.nlm.nih.gov]
Like other forms of urticaria, PUPPP can be treated with topical steroid creams. Although antihistamines such as Benadryl are not as effective for PUPPP, they are sometimes prescribed as well. [ic.steadyhealth.com]
Signs: Appearance Red 1-2 mm Papule with surrounding pale halo Lesions may coalesce into Urticaria l Plaque s Vesicle s may also be seen VII. Differential Diagnosis VIII. [fpnotebook.com]
If the rash does not appear typical for PUPPP, then other conditions to consider might include but are not limited to prurigo gestationis, atopic eruption of pregnancy, impetigo herpetiformis ,contact dermatitis, a drug reaction, urticaria, viral exanthem [obfocus.com]
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Skin Rash
PUPPP, Pruritic Urticarial Papules and Plaques of Pregnancy, is the most common pregnancy skin rash. This rash is most common during first pregnancies, and it usually strikes during the third trimester. [ic.steadyhealth.com]
The skin rash usually appears suddenly on the abdomen in 90% of patients, and it causes intense itching. In a few days, PUPPP may spread to involve the buttocks, thighs, and proximal (upper) arms. [babymed.com]
Currently there are two theories: One study discovered male fetal DNA in skin rash biopsies of affected women. As 70 percent of women with PUPPs go on to give birth to boys, it may be that male fetal DNA acts as a skin irritant. [womens-health-advice.com]
Wearing baggy clothes can always help prevent discomfort when you’re pregnant, and especially if you’re prone to skin rashes such as PUPPP. [pregnancycorner.com]
Pruritic urticarial papules and plaques of pregnancy is a typical hives-like skin rash that is extremely itchy and causes severe discomfort to the mother. [momjunction.com]
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Pruritic Rash
A 25-year-old woman complained of an intensely pruritic rash for 2 days. The rash began 10 days postpartum. It began on her abdomen and spread to her buttocks, legs and upper arms. [ncbi.nlm.nih.gov]
For patients with a widespread, intensely pruritic rash or those with inadequate response to topical therapy, a short course of systemic glucocorticoids may be prescribed. [aocd.org]
According to Wikipedia, Pruritic urticarial papules and plaques of pregnancy (PUPPP), known in United Kingdom as polymorphic eruption of pregnancy (PEP), is a chronic hives-like rash that strikes some women during pregnancy Pruritic Rash in Pregnancy [snakkede.pw]
A primigravid 24-year-old woman at 34-weeks gestation comes to the clinic because of a pruritic rash that has been developing on her abdomen over the last week. She is otherwise well and has had normal prenatal visits and blood work. [usmleforum.com]
Psychiatrical
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Psychiatric Symptoms
Even though women can develop long-term psychiatric symptoms after a miscarriage, acknowledging the potential of mental illness is not usually considered. [howlingpixel.com]
Workup
Utilization of a broad base of clinicopathologic and laboratory criteria is important in the workup of a patient with an eruption of pregnancy. [ncbi.nlm.nih.gov]
Treatment
Investigation of new treatment options has been limited by patient concerns about the negative fetal effects of medication. To assess the efficacy of intramuscular injection of autologous whole blood (AWB) for treatment of PUPPP. [ncbi.nlm.nih.gov]
Pruritic Urticarial Papules and Plaques of Pregnancy treatment at eMedicine External links[edit] Classification D ICD-10: O99.7 (ILDS O99.740) MeSH: C535817 DiseasesDB: 30030 External resources eMedicine: derm/351 [en.wikipedia.org]
Topical treatments are therefore almost universally accompanied by systemic treatments. [aibolita.com]
Prognosis
The prognosis is favorable. We report a case of PUPPP in a primipara and review the clinical signs, differential diagnosis, possible etiologic factors, diagnosis, and therapy. [ncbi.nlm.nih.gov]
Prevention, and Complications Prognosis resolves typically in 4-6 weeks or within 2 weeks postpartum no risk of fetal or maternal morbidity Please rate topic. [step2.medbullets.com]
Etiology
We report a case of PUPPP in a primipara and review the clinical signs, differential diagnosis, possible etiologic factors, diagnosis, and therapy. [ncbi.nlm.nih.gov]
[…] therapy, etiology, pathology Urticaria / diagnosis*, drug therapy, etiology, pathology Chemical Reg. [biomedsearch.com]
Epidemiology
OBJECTIVE AND METHODS: To describe the epidemiological, clinical, and histopathological findings of all patients diagnosed with PUPPP at the American University of Beirut Medical Center (AUB-MC) between 1998 and 2009 and compare our findings with those [ncbi.nlm.nih.gov]
This article reviews the epidemiology, clinical manifestation, etiology, differential diagnosis, and treatment of PUPPP. [doi.org]
Introduction Pruritic urticarial papules and plaques of pregnancy (PUPPP) or polymorphic eruption of pregnancy (PEP) A self-limited pruritic inflammatory disorder of the skin occurring in the last trimester of pregnancy or immediately postpartum Epidemiology [step2.medbullets.com]
Pathophysiology
[…] elephantiasis nostras verrucosa Member Rated 0 Patient case no. 235 Date added 01 January 1990 Patient details Age --Undetermined-- Localisation Primary Lesions Pathophysiology vascular disorders, vasculitis and purpuras / lymphatic disorders / elephantiasis [dermquest.com]
Pathology Microscopic tumor embolism Thought to occur from two distinct pathophysiological processes. [radiopaedia.org]
The inflammatory response induced in asthmatic airways contributes to the pathophysiology of this disease ( 85 ). This in turn could interfere with the necessary variations in the cytokine milieu mandatory for pregnancy to occur and be maintained. [frontiersin.org]
Prevention
Differential Diagnosis Pemphigoid gestationis Erythema multiforme Other drug reaction rash Treatment Initial therapy mid-to-high potency topical steroids If refractory systemic corticosteroids with quick taper Anti-histamines for pruritus Prognosis, Prevention [step2.medbullets.com]
If necessary, you can wear gloves to prevent scratching. o Some women feel that cool baths help. [cyndiayoub.com]
A Cochrane Collaboration review of topical agents for stretch mark prevention identified two randomized trials involving a total of 130 women. [aibolita.com]
Itchy, bumpy hives and plaques develop usually on the abdominal area Symptoms - Pruritic urticarial papules plaques of pregnancy * Itching * Bumpy hives * Skin plaques Causes - Pruritic urticarial papules plaques of pregnancy Pregnancy Prevention - Pruritic [checkorphan.org]