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
- 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]
- Cerebral Palsy
Preterm babies are at higher risk of health problems such as cerebral palsy. [howlingpixel.com]
Skin
- 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]
[…] and plaques of pregnancy with a prolonged course after delivery. ( 22155185 ) Terai M....Nishigori C. 2012 15 Pruritic urticarial papules and plaques of pregnancy. ( 22369410 ) Giugliano E....Patella A. 2012 16 Pruritic urticarial papules and plaques [malacards.org]
- Eczema
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]
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]
Specific dermatoses of pregnancy include polymorphic eruptions of pregnancy, atopic eczema of pregnancy, intrahepatic cholestasis and pemphigoid gestationis. [ncbi.nlm.nih.gov]
Atopic eruption of pregnancy (AEP) (Syn. early - onset prurigo of pregnancy) Eczema in pregnancy: Vaughan-Jones et al, [4] in a prospective study on pruritic skin diseases in pregnancy in 1999 reported a high prevalence of atopic eczema in pregnancy for [e-ijd.org]
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]
- 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]
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]
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]
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]
Occupational contact urticaria: Australian data. Br J Dermatol. 2008;159(1):125-131. DOI: http://dx.doi.org/10.1111/j.1365-2133.2008.08583.x [ Links ] Grattan CEH, Kobza Black A. Urticaria & Mastocytosis. [scielo.org.mx]
- 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]
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]
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]
Sensitive Skin During Pregnancy What treatments for a skin rash are off-limits during pregnancy? Oral steroids are generally considered no-nos during pregnancy. [whattoexpect.com]
Sometimes, your skin will treat these fetal cells as foreign substances, triggering a reaction and causing a skin rash. The migration of skin cells is more likely to occur in male fetuses. [momjunction.com]
- 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]
Pruritic urticarial papules and plaques of pregnancy (PUPPP) rash is an itchy rash. PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy). How to know if you have PUPP of Pregnancy. [snakkede.pw]
Clinically, it appears as an intensely pruritic (itchy) rash consisting of raised, edematous areas of small papules coalescing into larger plaques. [aocd.org]
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
- Obsessive Thoughts
Clinical depression also is associated with miscarriage.Intrusive thoughts can develop after the loss. Panic disorder and obsessive thoughts may also develop as a response to a miscarriage. [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]
Topical treatments are therefore almost universally accompanied by systemic treatments. [aibolita.com]
(November 2017) Front view of abdomen Side view of abdomen Feet and ankle view Treatment[edit] Soothing mild cases during pregnancy consists mainly of the application of topical moisturising creams or aqueous/emollient ointments. [en.wikipedia.org]
AWB injection was often used for the treatment of chronic urticaria before the introduction of antihistamines and was also thought to have beneficial effects in treatment of atopic dermatitis [ 12 ]. [karger.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. [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]
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 [medbullets.com]
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]
This article reviews the epidemiology, clinical manifestation, etiology, differential diagnosis, and treatment of PUPPP. [doi.org]
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 [medbullets.com]
In most cases treatment of PUPP involves high strength steroid creams or ointments, applied 5 to 6 times a day to relieve the itching and prevent any further spread of the rash. [circleofmoms.com]
Can I prevent PUPPP? Unfortunately, there are none. If you're going to get PUPPP, you're going to get it. Try to remember, though, that it's temporary and will disappear soon after your beautiful baby is born. [whattoexpect.com]
If necessary, you can wear gloves to prevent scratching. o Some women feel that cool baths help. [cyndiayoub.com]