PUPPP manifests itself as a rash. The condition starts out as stretch marks, which the vast majority of expectant mothers have to some extent. But it then develops into red spots or wheals, which are spread all over the abdomen. PUPPP is extremely itchy and can be almost unbearable. It is a form of urticaria (hives), and it starts at an average of 35 weeks into pregnancy. If you have noticed red, itchy spots on your pregnant belly, make sure to contact your healthcare provider to see if it might be PUPPP.
How is PUPPP treated?
PUPPP is most commonly treated with topical steroid creams. Antihistamines are not effective for the treatment of this condition. Steroid creams serve to give you relief from the itching and will hopefully help the rash clear up at least a bit. There is no indication that this rare skin rash is harmful in any way, but it can certainly make life extremely difficult. If you do not receive treatment, the PUPPP will clear up after you give birth. For more information about skin conditions, see how to cure pregnancy acne?