Does anyone have info on P.U.P.P.P in Pregnacy?

Question

This is a pregnancy related rash, sometimes known as being "allgeric" to the placenta. It causes an unbearable rash everywhere but on the face.

My sister has already been diagnosed with it, but all the drs. recommendations haven't worked, including Benadryl and Prednisone. She is actually sratching until she bleeds! I thought maybe someone had had some luck with itch relief

Answer 1

It gets worse if you bath a lot, or use harsh soaps or shower gels. The best thing for it is having the baby, but until then, hydrocordizone cream can help. Some women like to rub ice on the rash- says it cools it and stops it from itching. You can get it on the face, but it's very rare. I would stay away from harsh soap and use as little as possible, also try to stay away from extremes in tempurature. This tends to aggrivate it. If it gets really bad, talk to your doctor.

Answer 2

I thought I had it once. I was only 16 weeks pregnant, though, so they didn't treat me for it or anything because I think it is mostly common around the 7th month or so. I had a big rash all over my legs, that was really the only place it was. I felt like running in to a board of nails just so it would stop itching. I used benedryl cream on it, and it just went away. It hasn't been back since then. I have heard , though, that birth is the only cure.

Answer 3

PUPPP Syndrome, also known as Pruritic Urticarial Papules and Plaques of Pregnancy is a rare (approximately 160-250 women world-wide; 15-25% in multiparous women) but tremendously uncomfortable condition that affects expectant mothers in the latter weeks of pregnancy. The severe itching of PUPPP significantly reduces sleep in the weeks prior to birth. Skin eruptions are generally located on the lower abdomen, below the umbilicus and on the extremities ~ especially on areas stretched thin with stretch marks. PUPPP usually does not affect the face, palms, or soles of the feet. Generally, expectant women with PUPPP have greater weight gain, babies that are heavier than normal and an increased chance of having twins. An excellent photo of PUPPP is found on the New Zealand Dermatological Society website.


Three types or classifications of PUPPP Syndrome exists:
Type I consists mainly of urticarial papules and plaques,
Type II includes nonurticarial erythema, papules, or vesicles, and
Type III involves combinations of the Type I and Type II.

The etiology of PUPPP is not known, however the use of the word urticarial in the name suggests an allergic disorder marked by raised edematous patches of skin or mucous membrane and usually intense itching and caused by contact with a specific precipitating factor (as a food, drug, or inhalant). Research suggests that with 4-10% of women with PUPPP pregnant with twins, a relationship between skin distension and the development of PUPPP may exist and there is no mention in the research to indicate an allergen is the cause.

Treatment is focused on relieving the intense itching. Relief ranges from bathing in oatmeal baths and rubbing plain yogurt into the skin, to obtaining topical cortico-steriods or oral antihistamines from the caregiver. PUPPP tends to resolve spontaneously shortly after delivery.

References:

Aronson IK, Bond S, Fiedler VC, Vomvouras S, Gruber D, Ruiz C.J. Pruritic urticarial papules and plaques of pregnancy: clinical and immunopathologic observations in 57 patients. Am Acad Dermatol 1998 Dec;39(6):933-9

Elling SV, McKenna P, Powell FC. Pruritic urticarial papules and plaques of pregnancy in twin and triplet pregnancies. J Eur Acad Dermatol Venereol 2000 Sep;14(5):378-81

Answer 4

i have a friend that had it so bad that her dr said it was the worst case he had ever seen- she was miserable and she went into labor after her due date and her dr stopped labor- he was born five days late- she had scars all over her legs from scratching