Pruritic urticarial papules and plaques of pregnancy: Current status

@article{Ahmadi2005PruriticUP,
  title={Pruritic urticarial papules and plaques of pregnancy: Current status},
  author={Sharareh Ahmadi and Frank C. Powell},
  journal={Australasian Journal of Dermatology},
  year={2005},
  volume={46}
}
Pruritic urticarial papules and plaques of pregnancy is a common benign dermatosis of pregnancy that was described in 1979 as an intensely pruritic urticarial cutaneous eruption. This is a well‐defined clinical entity that mainly occurs in primigravidas in the third trimester, which resolves spontaneously or with delivery and is usually responsive to topical treatments. The aetiology of PUPPP is obscure. Histology is non‐specific, but consistently shows mild lymphohistiocytic perivascular… 

Pruritic urticarial papules and plaques of pregnancy

An unusual case of PUPPP is reported and the interesting presentation of this case may render new insights regarding the aetiological factors of this disease.

Polymorphic eruption of pregnancy.

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A case of postpartum PEP occurring in each of the patient’s three pregnancies is presented.

Polymorphic eruption of pregnancy: Review of literature

Abstract Polymorphic Eruption of Pregnancy (PEP) is one of the most common dermatosis related to pregnancy. PEP usually consists of pruritic papules and plaques appearing in the third trimester of

A review of literature of polymorphic eruption of pregnancy

Polymorphic eruption of pregnancy (PEP), also known as pruritic urticarial papules and plaques of pregnancy [PUPPP], is the most common of all the specific dermatoses of pregnancy and its exact pathogenesis is still unknown.

SEVERE POLYMORPHIC ERUPTION OF PREGNANCY DEVELOPING IN A LATE TERM PRIMIGRAVIDA: A CASE REPORT AND REVIEW OF LITERATURE

This report describes an unusual patient with singleton pregnancy presenting at 41 weeks gestation with sudden onset intense itching and rash on abdomen, upper part of legs and arms.

Histopathological Diagnosis of Atopic Eruption of Pregnancy and Polymorphic Eruption of Pregnancy: A Study on 41 Cases

Histopathologically, AEP was characterized by a perivascular lymphohistiocytic infiltrate with frequent eosinophils and epidermal changes in all but most of P-type biopsies, and only lymphocytic vasculitis with a mixed infiltrate with eos inophils was more frequent in PEP patients.

Diagnostic Pitfall in Atypical Febrile Presentation in a Patient with a Pregnancy-Specific Dermatosis—Case Report and Literature Review

A case of a 36-year-old patient with a 32-week pregnancy who was admitted with a generalized pruritic rash accompanied by fever and gave birth by cesarean section to a healthy newborn without dermatological lesions or other conditions is presented.

Dermatoses of pregnancy

  • C. Ambros-Rudolph
  • Medicine
    Acta dermatovenerologica Alpina, Pannonica, et Adriatica
  • 2008
The dermatoses of pregnancy represent a heterogeneous group of pruritic inflammatory skin diseases related to pregnancy and/or the postpartum period and an algorithmic approach to their diagnosis and management is offered.

Classification Preferred Term Historical Terms Intrahepatic cholestasis of pregnancy Obstetric cholestasis Pruritus / prurigo gravidarum Icterus gravidarum Jaundice of pregnancy Atopic eruption of pregnancy Eczema in pregnancy Prurigo of pregnancy Pruritic folliculitis of pregnancy Papular dermatiti

The dermatoses of pregnancy represent a distinct heterogenous group of cutaneous disorders that can impact the health of the pregnant woman and potentially the fetus and important clinical features can aid in diagnosis.

References

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An intensely pruritic cutaneous eruption that occurs in the third trimester of pregnancy is reported and is proposed to be termed "pruritic urticarial papules and plaques of pregnancy (PUPPP)".

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This study confirmed PUPPP to be a well defined clinical entity mainly occurring in young primagravidas in the third trimester and usually responsive to topical treatments.

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Seven patients who developed a characteristic pruritic rash in late pregnancy are described. Clinically the lesions consisted of erythematous urticarial papules and plaques, with vesicles in some

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PUPPP is a distinct dermatosis of pregnancy that has recently been associated with abdominal skin distention and two cases are described, a triplet pregnancy and a case of polyhydramnios, that support this association.

Pruritic urticarial papules and plaques of pregnancy. A review of 21 cases.

Direct immunofluorescence examination was negative in all patients and DIF in patients with PUPPP is a useful and reliable laboratory aid in distinguishing this peculiar dermatosis from herpes gestationis.

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