PUPPP = Pruritic Urticarial Papules and Plaques of Pregnancy = Itchy bumps during pregnancy!

It’s been a while since we’ve talked about pregnancy and the skin!  We already know from our previous posts that pregnancy can cause many changes in your skin, including acne.  Several rashes are associated with pregnancy as well.

One of these rashes associated with pregnancy has an acronym PUPPP which stands for “Pruritic Urticarial Papules and Plaques of Pregnancy” [translation: pruritic = itchy, urticarial = hive-like, papules = bumps, plaques = plaques].  PUPPP is one of the more common rashes to occur in pregnancy and usually happens in the late third trimester.

Who gets PUPPP?  Well, a pregnant woman.  Risk factors for getting PUPPP include being in one’s 1st pregnancy, having twins (or more), and obesity.

What does PUPPP look like and present as?  This rash presents with very itchy pink to red bumps, often within the stretch marks.  Sometimes blistering or “bulls-eye” looking spots can be present.

Is there any effect on the baby if the mother has PUPPP?  To our knowledge, no.

So what should you do if you develop an itchy rash during pregnancy?  See your obstetrician and/or dermatologist.  This is a fairly common rash in pregnancy.  Various medications can be used to help relieve the itching — otherwise, it can be really hard to get a good night’s rest.  The rash usually goes away 1 week after delivering.

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