ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesInformation for PatientsView all Images (34)
Polymorphic eruption of pregnancy
Print
Other Resources UpToDate PubMed

Polymorphic eruption of pregnancy

Print Patient Handout Images (34)
Contributors: Vivian Wong MD, PhD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Polymorphic eruption of pregnancy (PEP), or pruritic urticarial papules and plaques of pregnancy (PUPPP), is the most common specific eruption of pregnancy. The etiology is unknown, but it may be related to skin distension. It is a benign condition that almost always begins in the third trimester of a first pregnancy or in the immediate postpartum period. The lesions are associated with striae gravidarum (striae distensae). Pruritus can be severe, leading to sleep disturbance. PEP is associated with a higher frequency of multiple gestation and significant intrapartum weight gain (with a higher degree of stretching of abdominal skin). It is important to note that there is no association with adverse fetal or maternal outcomes. The diagnosis is self-limiting and typically resolves within 2 weeks postpartum. Recurrence with subsequent pregnancies is uncommon.

Codes

ICD10CM:
O26.86 – Pruritic urticarial papules and plaques of pregnancy (PUPPP)

SNOMEDCT:
88697005 – Pruritic urticarial papules and plaques of pregnancy

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed: 03/08/2017
Last Updated: 03/31/2017
Copyright © 2019 VisualDx®. All rights reserved.
Polymorphic eruption of pregnancy
Print 34 Images Filter Images
View all Images (34)
(with subscription)
 Reset
Polymorphic eruption of pregnancy : Abdomen, Pruritus, Striae, Maculopapular erythema
Clinical image of Polymorphic eruption of pregnancy
Copyright © 2019 VisualDx®. All rights reserved.