The numerous red bumps of PUPPP sometimes look like hives and are intensely itchy. Multiple small scabs are seen on the buttocks from scratching the lesions of PUPPP. Some of the lesions are seen in stretch marks here. The eruption from PUPPP can be extensive, here involving not only the stomach but also the arms with hive-like, red swellings. PUPPP usually begins in the third trimester and is more common among women carrying twins.
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PUPPP (Pruritic Urticarial Papules Plaques of Pregnancy)  Information for adults

Picture of PUPPP (Pruritic Urticarial Papules Plaques of Pregnancy): The numerous red bumps of PUPPP sometimes look like hives and are intensely itchy. Divider line
The numerous red bumps of PUPPP sometimes look like hives and are intensely itchy.
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Signs and Symptoms
The earliest signs of PUPPP are red, itchy bumps near areas of stretch marks. These bumps may spread to other parts of the body, usually to the chest, arms, and legs. It is uncommon for the rash to appear on the face, palms, or soles of the feet. The individual bumps may get larger and form raised, red areas that look like hives. Blisters filled with liquid may also be seen. Although the appearance of the rash can vary and change over time, most women's main concern is the intense itching that is a key component of this condition. PUPPP usually goes away about 1 week after delivery (postpartum) but can disappear anywhere from a week before delivery to up to 6 weeks postpartum.
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Last Modified: 13 Feb 2009
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