Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP): case report
DOI:
https://doi.org/10.37497/ijhmreview.v7i1.236Keywords:
Gynecology, Obstetrics, Papules, Pregnancy, Urticary, PrednisoneAbstract
Introduction: The urticarial and pruritic papules and plaques of pregnancy (PUPPP) correspond to benign inflammatory skin rashes, extremely pruritic, commonly appearing in the third trimester of primiparous pregnancies. The lesions were urticarial papules, located initially in the abdomen region, usually disappearing immediately after delivery, and with no tendency to relapse in subsequent pregnancies. Aim: In view of the scarcity of studies on the disease, the present research seeks to describe the case of a patient treated at our Service, seeking to provide information that can guide the medical team to make the best clinical decision regarding the patient with PUPPP. Method: This is a single case study where it is intended to describe a patient seen at the Gynecology and Obstetrics Service of Hospital Universitário São Francisco in Providência de Deus - HUSF, located in the city of Bragança Paulista – SP, Brazil. Results: It was a 26-year-old pregnant woman with oriental features, with pseudovesicular pruritic lesions distributed over the entire body surface, which presented hyperemia and hyaline secretion. After the failure of treatment with antibiotics (betamethasone and hydroxyzine), the immunosuppressive dosage of prednisone reversed the symptoms related to PUPPP. Conclusion: Prednisone is the most effective medication for remission of symptoms related to PUPPP. However, complicated conditions must be referred to the dermatologist, and must be evaluated with the aid of laboratory, histological and immunological exams.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms: The author(s) authorize the publication of the text in the journal; The author(s) guarantee that the contribution is original and unpublished and is not in the process of being evaluated by any other journal(s); The journal is not responsible for the opinions, ideas, and concepts contained in the texts, as these are the sole responsibility of their respective author(s); The editors reserve the right to make adjustments to the text in order to ensure that it adheres to the standards of the journal. Authors retain the copyrights and grant the journal the right of first publication, with the article simultaneously licensed under the Creative Commons Attribution License which allows the sharing of the article with the acknowledgment of authorship and initial publication in this journal. Authors are authorized to take additional contracts separately, for the non-exclusive distribution of the version of the article published in this journal (e.g. publication in an institutional repository or as a book chapter), with the acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (e.g. in institutional repositories or on their personal webpage) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of published work (See The Effect of Free Access at http://opcit.eprints.org/oacitation-biblio.html)
