Skip to main content

Scratching the PUPPP






PRURITIC URTICARIAL PAPULES AND PLAQUES OF PREGNANCY
Patients get a lot of rashes in pregnancy. This one has to be the rash that is named essentially "a rash" for lack of a clearer description. So pruritic: "itchy" and urticarial : "allergic" reaction and papules: "bumps" and plaques: "flat red bumps". The Brits like PEP instead of PUPPP. Their PEP stands for poylmorphic: "lots of different types" eruption of pregnancy. Now you know almost as much as the experts know. It's common: every couple of hundred prego women with one babe will get it. It's usually a condition of the first baby, and a bit more common in twins (about one in 50) . Extra stretch on the stretch marks or extra stretch marks might be a partially inciting factor. Faces are spared, but we don't know why. Steroid creams work well to control the itch. And after months of itching the moms often find it's completely gone a few days after birth! Sweet relief just in time for diaper duty!

Comments

Popular posts from this blog

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously.  It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods  Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you

Endocervial polyps

2 cm Endometrial Polyp After Removal Polyps in the cervix are almost never cancerous, but can bleed or get infected and should be removed. The are not directly related to an endometrial or uterine polyp (which is a precancerous condition), but your gyno may want to make sure these two conditions do not co-exist.  

Irregular Periods can Be the Sign of Other Medical Conditions

Heavy menstrual Bleeding Menstrual Period Norms The menstrual period's normal physiologic function to shed the lining and then prepare the lining for a pregnancy. Thus a sample of the lining under the microsope looks like it has glands within tissue. It’s hard to know if this is a heavy period, or one that is really so heavy that you need treatment without really checking completely with your gyno! Experts have used a number of definitions to determine if the period you are having is too heavy. Your perception is important. The actual amount of blood lost is important, but that can be determined by collecting each pad and weighing them before and after blood collection. So gynos have struggled with how to determine the formal definition of heavy bleeding. A basic check up, and a basic blood count, is not going to really make your version of heavy periods fit the typical “FDA” approved definition because that is defined by the exact amount of blood lost, which is los