Pruritic urticarial papules and plaques of pregnancy

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Classification according to ICD-10
O99.7 Diseases of the skin and subcutaneous tissue that complicate pregnancy, childbirth and the puerperium
ICD-10 online (WHO version 2019)

As pruritic urticarial papules and plaques of pregnancy (abbr .: PUPPP of English. Pruritic urticarial papules and plaques of pregnancy ) is defined as a pregnancy-associated dermatosis that occurs in first-time mothers in the last trimester of pregnancy.

This leads to very itchy rashes on the stomach, which usually heal spontaneously after giving birth. They typically start in the stretch marks on the abdomen and then in some cases spread to other areas of the body. While urticaria is usually in the foreground at the beginning of the rash , the papules and plaques dominate in the further course . Pemphigoides gestationis is a disease with a similar complexion . The therapy is symptom-related, for example using corticoids, the etiology is unclear, the prognosis is favorable.

Individual evidence

  1. ↑ J. Baltzer among others: Practice of Gynecology and Obstetrics: The complete practical knowledge in one volume. Georg Thieme Verlag, 2006, ISBN 3-13-144261-1 , p. 661, (online)
  2. ↑ G. White: Levene's Color Atlas of Dermatology. Georg Thieme Verlag, 2004, ISBN 3-13-139245-2 , p. 264, (online, including pictorial representation of the PUPPP)
  3. ↑ P. Fritsch: Dermatology Venerology: Basics. Clinic. Atlas. Springer, 2004, ISBN 3-540-00332-0 , p. 421, (online)