Postpartum polymorphic eruption of pregnancy: an unusual presentation

Patel, Parimal; Ashack, Kurt; Aronson, Iris K.

doi:10.1111/ijd.14084

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…Polymorphic eruption of pregnancy usually occurs before delivery and disappears within 4–6 weeks postpartum, 1,2 but postpartum individuals occasionally develop PEP 1–2 weeks after delivery 4,6,7 as seen in our case. Pemphigoid gestationis was negated by negative anti‐BP180 antibodies 7 .…”

Section: Figuresupporting

confidence: 52%

“…PEP lesions are initially localized within or adjacent to striae distensae particularly on the lateral aspects of the abdomen 1–4 . It has been documented that PEP has documented to occur occasionally in the postpartum period 6,7 . This onset timing may annoy us upon diagnosis of PEP.…”

Section: Figurementioning

confidence: 99%

“…[1][2][3][4] It has been documented that PEP has documented to occur occasionally in the postpartum period. 6,7 This onset timing may annoy us upon diagnosis of PEP. Here, we report a case of PEP, whose lesions were developed after delivery.…”

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confidence: 99%

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Postpartum polymorphic eruption of pregnancy prominently occurring on striae distensae

Ogura¹,

Inuzuka²,

Morimoto³

et al. 2021

J Cutaneous Imm & Allergy

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Polymorphic eruption of pregnancy (PEP), 1 also known historically as pruritic urticarial papules and plaques of pregnancy, 2 is one of the characteristic gestational dermatoses. PEP usually affects primigravidas in their third trimester of pregnancy and rapidly resolves in first weeks of postpartum. [1][2][3][4][5] Intensely pruritic urticarial papules, that quickly coalesced to form plaques, initially occur on the abdomen and/or proximal thighs and usually spread to the buttocks, chest, back, and peripheral limbs. 1-5 PEP lesions are initially local-

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Section: Figuresupporting

confidence: 52%

Section: Figurementioning

confidence: 99%

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Postpartum polymorphic eruption of pregnancy prominently occurring on striae distensae

Ogura¹,

Inuzuka²,

Morimoto³

et al. 2021

J Cutaneous Imm & Allergy

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“…PEP developed during the postpartum period have been reported ranging from 2 days to 2 weeks after delivery, including a case of recurrent postpartum PEP. [15][16][17] A case of postpartum PEP with arm and feet involvement sparing abdomen, one with palmoplantar involvement, and another case with dyshidrosis and acral purpura have been reported. [18][19][20] Exclusive involvement of the peripheral limbs was reported in four patients (22%), three of which only had lower extremities involvement, while one case had upper and lower extremity involvement.…”

Section: Clinical Featuresmentioning

confidence: 99%

A review of literature of polymorphic eruption of pregnancy

2021

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<p class="abstract">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. It is a benign, self-resolving, pruritic disorder of pregnancy, usually affecting primigravida during the last trimester of pregnancy or immediately postpartum. Its exact pathogenesis is still unknown, and its clinical presentations are variable. It may mimic many common dermatoses. In PEP, the histological findings are non-contributory and the laboratory results, including direct and indirect immunofluorescence are negative. Diagnosis mainly depends on clinical findings. Significant diagnostic confusion may occur with early lesions of pemphigoid gestationis, which needs to be differentiated from PEP as the former may have a bad fetal outcome. PEP is not associated with any fetal or maternal risk, and symptomatic treatment is all that is usually required. The awareness of this condition helps the physician recognize this entity, reassure the patient, and avoid unnecessary investigations. This review focuses on etiology, various clinical presentations, differential diagnosis, and management of PEP.</p>

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