Atypical pruritic urticarial papules and plaques of pregnancy- A case report

INTRODUCTION Pruritic urticarial papules and plaques of pregnancy (PUPPP) typically occur during the first pregnancy in the third trimester [1,2]. Papules and plaques of PUPPP are usually found on the abdomen within the striae associated with pregnancy but can extend to the limbs as well [1,3]. P...

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Main Authors: K. N. Devaraj, S. Haley
Format: Article
Language:English
Published: Rwanda Biomedical Centre (RBC)/Rwanda Health Communication Center 2020-03-01
Series:Rwanda Medical Journal
Subjects:
Online Access:https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/rmj_77_11.pdf
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author K. N. Devaraj
S. Haley
author_facet K. N. Devaraj
S. Haley
author_sort K. N. Devaraj
collection DOAJ
description INTRODUCTION Pruritic urticarial papules and plaques of pregnancy (PUPPP) typically occur during the first pregnancy in the third trimester [1,2]. Papules and plaques of PUPPP are usually found on the abdomen within the striae associated with pregnancy but can extend to the limbs as well [1,3]. PUPPP is characterized by erythema as well as pruritic papules and plaques. Symptomatic treatment with oral antihistamines and topical corticosteroids preparations is usually offered to the pregnant mother as this eruption usually resolves rapidly within one to two weeks postpartum [2,3]. Persistence of the eruptions post-partum is rare. No risks or detrimental effects have been identified. Therefore, the perinatal outcome is excellent for both the mother and new-born baby [3,4]. This case report will review an unusual case of persistent PUPPP at 12 years post-partum in a 43 years old woman who continued to suffer from abrupt symptomatic outbreaks associated with PUPPP without any clear respite. This is unusual because 90% of PUPPP cases remit spontaneously with no recurrences. Keywords:
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spelling doaj.art-39e0e2f556f3412b82d2edac3538cffa2022-12-21T20:40:09ZengRwanda Biomedical Centre (RBC)/Rwanda Health Communication CenterRwanda Medical Journal2079-097X2410-86262020-03-017713234Atypical pruritic urticarial papules and plaques of pregnancy- A case reportK. N. Devaraj0S. Haley1Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra MalaysiaUniversity of Wyoming, United States of America.INTRODUCTION Pruritic urticarial papules and plaques of pregnancy (PUPPP) typically occur during the first pregnancy in the third trimester [1,2]. Papules and plaques of PUPPP are usually found on the abdomen within the striae associated with pregnancy but can extend to the limbs as well [1,3]. PUPPP is characterized by erythema as well as pruritic papules and plaques. Symptomatic treatment with oral antihistamines and topical corticosteroids preparations is usually offered to the pregnant mother as this eruption usually resolves rapidly within one to two weeks postpartum [2,3]. Persistence of the eruptions post-partum is rare. No risks or detrimental effects have been identified. Therefore, the perinatal outcome is excellent for both the mother and new-born baby [3,4]. This case report will review an unusual case of persistent PUPPP at 12 years post-partum in a 43 years old woman who continued to suffer from abrupt symptomatic outbreaks associated with PUPPP without any clear respite. This is unusual because 90% of PUPPP cases remit spontaneously with no recurrences. Keywords:https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/rmj_77_11.pdfpruriticpapulesplaques of pregnancycommonchronicitycorticosteroidsgood outcomepersistentpuppp
spellingShingle K. N. Devaraj
S. Haley
Atypical pruritic urticarial papules and plaques of pregnancy- A case report
Rwanda Medical Journal
pruritic
papules
plaques of pregnancy
common
chronicity
corticosteroids
good outcome
persistent
puppp
title Atypical pruritic urticarial papules and plaques of pregnancy- A case report
title_full Atypical pruritic urticarial papules and plaques of pregnancy- A case report
title_fullStr Atypical pruritic urticarial papules and plaques of pregnancy- A case report
title_full_unstemmed Atypical pruritic urticarial papules and plaques of pregnancy- A case report
title_short Atypical pruritic urticarial papules and plaques of pregnancy- A case report
title_sort atypical pruritic urticarial papules and plaques of pregnancy a case report
topic pruritic
papules
plaques of pregnancy
common
chronicity
corticosteroids
good outcome
persistent
puppp
url https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/rmj_77_11.pdf
work_keys_str_mv AT kndevaraj atypicalpruriticurticarialpapulesandplaquesofpregnancyacasereport
AT shaley atypicalpruriticurticarialpapulesandplaquesofpregnancyacasereport