Pruritic urticarial papules and plaques of pregnancy (PUPPP) is a benign, uncomfortable condition most commonly associated with the late gestational period in primagravidas. This self-limiting dermatosis usually resolves in the early postpartum period. The etiology is not well understood and there are no specific laboratory tests. Pruritic urticarial papules and plaques of pregnancy are not associated with maternal or fetal complications and require only supportive management. Early identification will facilitate the initiation of timely comfort measures and an opportunity to provide reassurance and patient education. Key words: polymorphic eruption of pregnancy, pruritic urticarial papules and plaques of pregnancy, PUPPP
CASE PRESENTATION
History of Present IllnessA 26-year-old white female who was 38 weeks pregnant presented to the emergency department with a 4-day history of an intensely itchy rash. The rash was located primarily on the abdomen but also scattered on the thighs. She denied fever, vomiting, swelling of the face or throat, shortness of breath, or wheezing. Because she was pregnant, she took only acetaminophen for discomfort, with little relief. Routine medications were prenatal vitamins.