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A Case of Pruritic Urticarial Papules and Plaques of Pregnancy

A Case of Pruritic Urticarial Papules and Plaques of Pregnancy 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 der- matosis 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 tory of recent illness, travel, swimming, insect CASE PRESENTATION bites, or allergic reactions. The patient is a History of Present Illness primigravida who has gained 32 lb (14.5 kg); the prenatal course has been uncomplicated. A 26-year-old white female who was 38 weeks pregnant presented to the emergency depart- ment with a 4-day history of an intensely itchy Past Medical History rash. The rash was located primarily on the ab- Noncontributory. domen but also scattered on the thighs. She denied fever, vomiting, swelling of the face Social History or throat, shortness of breath, or wheezing. Because she was pregnant, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

A Case of Pruritic Urticarial Papules and Plaques of Pregnancy

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Copyright
Copyright 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/01.TME.0000334373.59776.da
Publisher site
See Article on Publisher Site

Abstract

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 der- matosis 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 tory of recent illness, travel, swimming, insect CASE PRESENTATION bites, or allergic reactions. The patient is a History of Present Illness primigravida who has gained 32 lb (14.5 kg); the prenatal course has been uncomplicated. A 26-year-old white female who was 38 weeks pregnant presented to the emergency depart- ment with a 4-day history of an intensely itchy Past Medical History rash. The rash was located primarily on the ab- Noncontributory. domen but also scattered on the thighs. She denied fever, vomiting, swelling of the face Social History or throat, shortness of breath, or wheezing. Because she was pregnant,

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Jul 1, 2008

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