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Affecting about one in two hundred pregnant women, pruritic urticaria was
formally identified and described in 1979. It is a chronic hives-like skin rash
that strikes some women during pregnancy. It is commonly known in the United
States as
pruritic urticarial papules and plaques of pregnancy (PUPPP), and in the
United Kingdom, it is usually referred to as polymorphic eruption of pregnancy
(PEP).
Pruritic
Urticaria has many other names, including late-onset prurigo of pregnancy
and toxemic rash of pregnancy. Some people may confuse it with toxemia of
pregnancy, which is another term for pre-eclampsia.
There is no long-term risk for the mother or the unborn child; however,
itchiness can create a lot of the problems for the patient. In most cases, PUPPP
begins on the stomach and spreads to other body parts, such as the legs, feet,
arms, chest, and neck.
In various cases, the symptoms are different, and the appearance of the
condition changes with the passage of time. In nearly 98% of cases, it starts
with pruritic urticarial papules, which are itchy wheals - small, solid
elevations of the skin. However, over half of the patients develop multiple
forms of polymorphic redness, small blisters, and targetoid and eczematous
lesions.
For temporary relief, the patient may apply topical moisturizing creams,
aqueous, or emollient ointments on the affected area. Patients with serious
conditions may apply class I or II corticosteroid creams and ointments. However,
to treat extremely severe cases, oral corticosteroids can be used.
As your body is going through many chemical changes during pregnancy,
abnormalities like pruritric urticaria are no surprise. However, you should take
care when dealing with it, as it can affect your life as well as your baby's
life. Therefore, it is advisable to consult your doctor for proper treatment.
P.S. (from
Dr. Gary M. Levin, M.D. & Surgeon)
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