Pruritic urticarial papules and plaques of pregnancy with bullae formation: Report of an unusual case

ABSTRACT

Pruritic urticarial papules and plaques of pregnancy [PUPPP] is a pregnancy-specific dermatosis, which is a tremendously uncomfortable condition that effects primigravid women in their third trimester of pregnancy. The severe itching of PUPPP reduces sleep in the weeks prior to parturition. Erythematous urticarial papules and plaques with small vesicles are noted, but true bullae formation has not been reported. We present a 33-year-old woman with clinical findings of PUPPP with large bullae formation on her lower abdominal and periumbilical skin. Considering herpes gestationis as the first clinical diagnosis, a skin biopsy was performed. Histopathological findings confirmed the diagnosis of PUPPP