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7 Things Your Ob-Gyn Wants You to Know About That PUPPs Rash

First things, first. What exactly does PUPPs stand for? It's an acronym for a pregnancy rash; the letters break down to pruritic urticarial papules and plaques of pregnancy. Care to say that 10 times fast?

First-time mums are at greater risk for PUPPS

"PUPPS is the most common dermatological symptom we see in pregnancy," explains Brian Levine, MD, board-certified obstetrician-gynecologist and reproductive endocrinologist and the New York practice director for the Colorado Center for Reproductive Medicine. About one in 250 pregnant women contracts the rash; Dr. Levine estimates that about 75 of the patients he sees with PUPPs are first time moms. You're also…

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 7 Things Your Ob-Gyn Wants You to Know About That PUPPs Rash

Here's everything expecting moms need to know about this bothersome pregnancy rash.


Polymorphic eruption of pregnancy (PEP), first described as pruritic urticarial papules and plaques of pregnancy (PUPPP), refers to a benign dermatosis that usually arises late in the third trimester of a first pregnancy. The entity previously had been reported as toxemic rash of pregnancy, toxemic erythema of pregnancy, and late-onset prurigo of pregnancy.

Pregnancy Corner

The appearance of PUPPP has been described as bumpy, itchy papules that turn to red, scalded skin with welts over time. At first they look like stretch marks, but as time passes, the rash grows larger in area and becomes bumpy and red. Oddly, there is never a rash on the belly button, only around it on the abdomen. From the abdomen, the rash will begin to spread to all parts of the body, including the chest, legs, feet, neck, armpits, and face of the expectant mother.

What To Expect

Got a weird rash during pregnancy? Here's the scoop on PUPPP and what you can do about it.

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