Pruritic urticarial papules and plaques of pregnancy

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PUPPP 2007-05-06 left.jpg
Left side view of abdomen
Classification and external resources
ICD-10 O99.7 (ILDS O99.740)
DiseasesDB 30030
eMedicine derm/351


Papules and plaques usually start appearing on the abdomen (although not on the umbilicus/bellybutton) and often spreads to the legs, chest, underarms, etc. The face is usually also spared and does not seem to become affected.


Certain studies reveal that this condition is more frequent in women carrying boys, although no formal research has been conducted. Statistics cite that 70% of PUPPP sufferers deliver boys. Some researchers think it has to do with male DNA interacting with the mother's body causing irritation.

PUPPP's occurs in about 1 in every 200 pregnancies and is not always easy to diagnose.[citation needed]


The cause of the condition is generally unknown,.[1] There is a correlation between the PUPPP rash and dairy. When some women stop drinking dairy the rash has been known to go away. This skin condition occurs mostly in first pregnancies (primigravida), in the third trimester and is more likely with multiple pregnancies (more so with triplets than twins or singletons).[3][4]





Pine tar soap/body wash can bring relief as can keeping the skin chilled such as through a cold shower or iced cloths.


See also[edit]


  1. ^ a b Matz H, Orion E, Wolf R (Mar–Apr 2006). "Pruritic urticarial papules and plaques of pregnancy: polymorphic eruption of pregnancy (PUPPP)". Clin Dermatol. 24 (2): 105–8. doi:10.1016/j.clindermatol.2005.10.010. PMID 16487883. 
  4. ^ Brzoza Z, Kasperska-Zajac A, Oleś E, Rogala B (Jan–Feb 2007). "Pruritic urticarial papules and plaques of pregnancy". J Midwifery Women's Health. 52 (1): 44–8. doi:10.1016/j.jmwh.2006.09.007. PMID 17207750. 
  5. ^ Ohel I, Levy A, Silberstein T, Holcberg G, Sheiner E (May 2006). "Pregnancy outcome of patients with pruritic urticarial papules and plaques of pregnancy". J Matern Fetal Neonatal Med. 19 (5): 305–8. doi:10.1080/14767050600590573. PMID 16753771. 
  6. ^ De G, De G (January 2002). "Pruritic urticarial papules and plaques of pregnancy: an unusual case" (PDF). J Am Osteopath Assoc. 102 (1): 44–6. PMID 11837341. 

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