Pruritic urticarial papules and plaques of pregnancy (PUPPP) digital illustration

Pruritic urticarial papules and plaques of pregnancy (PUPPP) Save

ICD-10 code: O26.86

Chapter: Pregnancy, childbirth and the puerperium

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Pruritic urticarial papules and plaques of pregnancy, commonly known as PUPPP, is a skin condition that affects pregnant women. It is characterized by itchy, raised bumps and hives that appear on the abdomen, thighs, and buttocks. PUPPP is not harmful to the mother or the baby, but it can be very uncomfortable and distressing for the mother.

The exact cause of PUPPP is unknown, but it is thought to be related to the stretching of the skin and hormonal changes during pregnancy. PUPPP usually occurs in the third trimester of pregnancy, but it can occur at any time during pregnancy.

Symptoms of PUPPP

The symptoms of PUPPP include:

  1. Itchy, raised bumps and hives on the abdomen, thighs, and buttocks.
  2. Redness and swelling
  3. Blisters or vesicles that may ooze or crust
  4. Small, raised papules that may merge together to form larger plaques
  5. Symptoms usually start on the abdomen and may spread to other areas of the body
Treatment of PUPPP

There is no cure for PUPPP, but there are several treatments that can help to relieve the symptoms. These include:

  1. Topical corticosteroids, such as hydrocortisone cream, which can help to reduce inflammation and itching
  2. Oral antihistamines, such as Benadryl, which can help to reduce itching and promote sleep
  3. Cool compresses, such as a cold, damp cloth, can help to reduce itching and inflammation
  4. Moisturizers, such as petroleum jelly or aloe vera, can help to soothe the skin and reduce itching

It is important to consult a healthcare provider before using any of these treatments, as they may not be safe for use during pregnancy. It is also important to avoid scratching the affected areas, as this can cause further irritation and increase the risk of infection.

Conclusion

PUPPP is a common skin condition that affects pregnant women. It is characterized by itchy, raised bumps and hives that appear on the abdomen, thighs, and buttocks. Although there is no cure for PUPPP, there are several treatments that can help to relieve the symptoms. If you are pregnant and experiencing symptoms of PUPPP, it is important to consult a healthcare provider for proper diagnosis

Diagnosis Codes for Pruritic urticarial papules and plaques of pregnancy (PUPPP) | O26.86

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