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from Section 3 - Antepartum (Late Pregnancy)
Published online by Cambridge University Press: 08 April 2025
Affecting 1 in 200 pregnancies, PUPPP is the most common gestational dermatosis that typically affects nulliparous patients in their third trimester. Urticarial papules and plaques starting along the abdominal striae and extending to the thighs, buttocks, and arms characterize it. A benign, self-limiting skin condition resolves approximately 4 weeks after onset or after delivery. Treatment options focus on relieving itching and discomfort with agents such as topical corticosteroids, antihistamines, or soothing emollients. It does not pose a direct risk to the developing fetus and does not require early delivery.
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