PUPPP

Diagnosis: PUPPP

PUPPP - Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Clinical Presentation

PUPPP - Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Clinical History

Submitted by Ellie Goulding MD. Originally posted January 23, 2017.

Treatment

See case discussion.

Differential Diagnosis

• Pemphigoid gestationis • Atopic eruption of pregnancy • Drug eruption • Urticaria • Contact dermatitis • Scabies

Key Learnings

• Pruritic Urticarial Papules and Plaques of Pregnancy — most common dermatosis of pregnancy • Typically starts in striae distensae of abdomen in 3rd trimester (primigravida) • Characteristically spares the umbilicus (distinguishes from pemphigoid gestationis) • Benign — no risk to mother or fetus • Resolves spontaneously after delivery (usually within days) • More common with excessive maternal weight gain, multiple gestations • Does NOT typically recur in subsequent pregnancies • DIF is negative (distinguishes from pemphigoid gestationis)

Tags: puppp, ellie goulding md