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Wednesday, 18 December 2013

Skin Rash in Pregnancy- PUPPP (pruritic urticarial papules and plaques of pregnancy)

Skin rash is defined as a condition of skin change of the color and appearance and can be localized or affected the whole body. Skin rashes during pregnancy can be normal or abnormal, in some cases it can have a negative health affects to the mother and fetus. If you are experience certain itching with or without rash, please consult with your doctor as soon as possible.

Types of skin rash in pregnancy Most common types of rash during pregnancy, includePUPPP- (pruritic urticarial papules and plaques of pregnancy)
Skin rash can result of itching is intense and spreads to your arms and legs with the presence of hives-like rash and bumps on your abdomen, you may develop pruritic urticarial papules and plagues (PUPPP) that affects about one in two hundred pregnancies and mostly to the mother who are carrying large babies. Approximately, 1 in 200 pregnant women will develop skin rash during pregnancy, according to the statistic.

1. Cause and risk factors
Although the cause of skin rash in pregnancy is unknown, some researchers suggested that it may be caused by distension of the skin due to in first pregnancies (primigravida). In an article written by Dr. Dr Cordelia Han, Specialist in Obstetrics & Gynaecology, Raffles Hospital in response to the question of the reader about itching in pregnancy, Dr. Han wrote "The cause was unknown until recently when Dr Selim Aracting and colleagues from France reported studies linking PUPPP with cells from the developing baby (foetus). Their studies suggest that foetal cells can invade the mother's skin during pregnancy, and in some way cause this skin disorder to develop."

2. Symptoms
a. Red spots or bumps that itch strongly.
b. Skin distension (stretching) as a result of carrying large babies, twins, and triplets.
c. In general, skin rash develop in the third trimester, around 34 weeks of pregnancy
d. The appearance of the skin rash change over time
e. Etc.

3. Treatments
PUPPP presents no long-term risk for either the mother or unborn child and generally begins on the stomach and spreads to the legs, feet, arms, chest, and neck, but it may cause annoying to some mothers. According to the article of Pruritic Urticarial Papules and Plaques of Pregnancy Treatment & Management Joseph C Pierson, MD; Chief Editor: Dirk M Elston, MD, the authors indicated that treatment is directed at relieving the pruritus associated with pruritic urticarial papules and plaques of pregnancy (PUPPP). General measures include cool soothing baths, emollients, wet soaks, and light-cotton clothing. PUPPP tends to resolve spontaneously shortly after delivery.
Most doctors prefer the use of application of topical moisturizing creams, but in some serve cases, recommendation of the use of Class I or II corticosteroid or oral (systemic) corticosteroids creams and ointments.

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