Pruritic Urticarial Papules and Plaques of Pregnancy with Unique Distribution Developing in Postpartum Period

Sang-Yeon, Park; Kim, Jae Hong; Lee, Won‐Soo

doi:10.5021/ad.2013.25.4.506

Cited by 5 publications

(8 citation statements)

References 4 publications

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“…Skin eruptions in the perinatal period are considered as dermatoses of pregnancy. [3] A broad group named pruritic urticarial papules and plaques of pregnancy and polymorphic eruptions of pregnancy are two distinct conditions that constitute 0.5% of total cases. [4] However, till now, only six case reports have described dermatoses during the post-partum period, [5] which include lesions that are pruritic, erythematous, and inflammatory in nature.…”

Section: Discussionmentioning

confidence: 99%

“…[1] However, galactorrhea in the context of a euprolactinemic state with the use of paroxetine is rarely cited, without any clear explanation of the underlying pathophysiology. [2,3] We report a woman who was treated with paroxetine when she developed galactorrhea despite having normal serum prolactin levels. We also attempt to postulate the possible neurobiological explanation for this presentation.…”

Section: Declaration Of Patient Consentmentioning

confidence: 99%

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Dysmorphic Delusion and Olanzapine-Induced Postpartum Dermatosis in a Case of Schizophrenia

Sutar¹,

Ganjekar

2019

Indian Journal of Psychological Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Declaration Of Patient Consentmentioning

confidence: 99%

Dysmorphic Delusion and Olanzapine-Induced Postpartum Dermatosis in a Case of Schizophrenia

Sutar¹,

Ganjekar

2019

Indian Journal of Psychological Medicine

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“…During pregnancy, complex endocrinologic, immunologic, metabolic, and vascular changes influence the skin in various ways. PUPPP usually evolves in the third trimester and resolves rapidly postpartum and only rarely appears in the postpartum period [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. The lesions start in the abdominal striae with a periumbilical sparing [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, the skin lesions develop in the third trimester of primigravidas and disappear within 7–10 days after labor [ 1 ]. Presentation of PUPPP in the postpartum period is rare [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. Only few cases of PUPPP developing postpartum have been described in the literature (Table 1 ).…”

Section: Introductionmentioning

confidence: 99%

Pruritic Urticarial Papules and Plaques of Pregnancy Occurring Postpartum Treated with Intramuscular Injection of Autologous Whole Blood

Kim¹

2017

Case Rep Dermatol

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Pruritic urticarial papules and plaques of pregnancy (PUPPP) is one of the most common diseases associated with pregnancy. In most cases, the skin lesions develop in the third trimester of primigravidas. There are no systemic alterations seen in PUPPP; however, most patients report severe pruritus. A 34-year-old woman presented 1 week postpartum with typical clinical features of PUPPP. The patient showed good response to intramuscular injection of autologous whole blood with no adverse effects to the patient or her baby. Presentation of PUPPP in the postpartum period is rare. Conservative management with topical corticosteroids and oral antihistamines is commonly used to relieve pruritus. In severe cases, skin lesions and symptoms are controlled with a brief course of systemic corticosteroids. Investigation of new treatment options has been limited by patient concerns about the negative effects of medication on the fetus or breastfeeding. Intramuscular injection of autologous whole blood could be an alternative treatment option for PUPPP, especially for women who worry about the use of medications during pregnancy or breastfeeding.

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“…[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. 7 Some cases with facial involvement were also noted.…”

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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Pruritic Urticarial Papules and Plaques of Pregnancy with Unique Distribution Developing in Postpartum Period

Cited by 5 publications

References 4 publications

Dysmorphic Delusion and Olanzapine-Induced Postpartum Dermatosis in a Case of Schizophrenia

Dysmorphic Delusion and Olanzapine-Induced Postpartum Dermatosis in a Case of Schizophrenia

Pruritic Urticarial Papules and Plaques of Pregnancy Occurring Postpartum Treated with Intramuscular Injection of Autologous Whole Blood

A review of literature of polymorphic eruption of pregnancy

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