Scratching the PUPPP

Patients get a lot of rashes in pregnancy. This one has to be the rash that is named essentially "a rash" for lack of a clearer description. So pruritic: "itchy" and urticarial : "allergic" reaction and papules: "bumps" and plaques: "flat red bumps". The Brits like PEP instead of PUPPP. Their PEP stands for poylmorphic: "lots of different types" eruption of pregnancy. Now you know almost as much as the experts know. It's common: every couple of hundred prego women with one babe will get it. It's usually a condition of the first baby, and a bit more common in twins (about one in 50) . Extra stretch on the stretch marks or extra stretch marks might be a partially inciting factor. Faces are spared, but we don't know why. Steroid creams work well to control the itch. And after months of itching the moms often find it's completely gone a few days after birth! Sweet relief just in time for diaper duty!


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