One of the most common rashes occurring during pregnancy is “pruritic urticarial papules and plaques of pregnancy” (PUPPP), which occurs in about one in every 160 pregnancies. The rash, which usually develops in a first pregnancy often late in the third trimester (about 35 weeks), nearly always begins in the stretch marks (striae) of the abdomen. One characteristic that distinguishes it from other rashes in pregnancy is that it does not involve the belly button. The rash consists of spongy, raised, flat lesions known as “wheals” in the stretch marks that seem to grow together. PUPPP is very itchy and sometimes spreads to the thighs, buttocks, breasts, and arms. Treatment typically includes the use of topical (but not oral) steroids.

At ELMHURST DERMATOLOGY, we diagnose and treat skin diseases such as psoriasis, lesions, moles, warts, and contact dermatitis. We carefully discuss medical, surgical, and cosmetic options with clients and strive to provide optimal outcomes. Please call our office at 630-832-2111 to schedule an evaluation of your skin. We are located at 103 N. Haven, Suite 7, Elmhurst. We accept most medical insurance, Visa, and MasterCard.

Todd T. Davis, M.D.
Board Certified Dermatologist

P.S. PUPPP usually lasts about six weeks and resolves spontaneously one to two weeks after delivery, with the most severe itching normally lasting for only one week.