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Conditions and Diseases > Skin Forum > Really Wierd Rash -tiny bumps on my tummy
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Q: Really Wierd Rash -tiny bumps on my tummy
asked by: young Girl on October 9th, 2007
Especially eHealthy
ok so about a week ago i started haveing an itchy tummy
so i figured it was just dry skin.

well then i started getting tiny bumps on my tummy that looked like ant bites so i figured i riitated it by scratching
well not i have the bumps on my thighs,back,shoulders,legs now...my tummy and it itches sooo bad!!!!!!

i had scarlet fever HORRIBLY a few years ago
i hope thats not what this is
help!
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Mabel
replied on October 9th, 2007
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It is PUPPS.
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young Girl
replied on October 9th, 2007
Especially eHealthy
whats that?!?!?! am i going to die or something?
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Mabel
replied on October 9th, 2007
Supporter
No. You won't die. Smile



Pruritic urticarial papules and plaques of pregnancy (PUPPP), also known as polymorphic eruption of pregnancy, is the most common rash in pregnant women. It normally occurs in first pregnancies during the third trimester with an average onset of 35 weeks. Thankfully, PUPPP does not usually affect subsequent pregnancies.

Appearance of PUPPP
The rash of PUPPP almost always begins in the stretch marks (striae) of the abdomen. It does not involve the belly button distinguishing it from other common rashes of pregnancy. The rash itself consists of small, red wheals in the stretch marks that grow together to form larger wheals on the abdomen. Sometimes the rash can include small vesicles. Over the next several days, the rash can spread over the thighs, buttocks, breasts, and arms.

The rash is very itchy, or pruritic, hence the name.

This condition is harmless to mother and baby, but can be very annoying. It lasts an average of 6 weeks and resolves spontaneously 1 to 2 weeks after delivery. The most severe itching normally lasts for no more than 1 week.
Cause of PUPPP
The cause of PUPPP is unknown. It is not associated with preeclampsia, autoimmune disorders, hormonal abnormalities, or fetal abnormalities. Some investigators suggest that the rapid abdominal wall distension damages connective tissue and causes an inflammatory response. One study has shown that male fetal DNA can be found in skin biopsies of the rash. Since 70% of women with PUPPP give birth to boys, a new hypothesis is that male fetal DNA acts as a skin irritant.

Diagnosis of PUPPP
The diagnosis of PUPPP is clinical, meaning it is based solely on the appearance of the rash. There are no laboratory tests that detect PUPPP. Skin biopsies are not generally performed unless there is a question about the diagnosis.

Treatment of PUPPP
The treatment of PUPPP is symptomatic. High strength steroid creams or ointments, such as clobetasol (Temovate) or betamethasone (Diplrolene), used up to 5 to 6 times a day usually relieve the itching and prevent the spread of the rash. Once the rash is under control, changing to a lower strength steroid used less frequently is advisable. For severe cases, daily oral steroids may be necessary to control itching. Oral antihistamines such as atarax, benadryl, and zyrtec, are generally less effective for itching than steroids, but may be useful at night to help with sleep.
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young Girl
replied on October 9th, 2007
Especially eHealthy
ahhh great!!! 6 weeks! i am going to die
this sucks lol
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Mabel
replied on October 9th, 2007
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Go see your doctor about it Smile
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rosejackson
replied on October 9th, 2007
Supporter
i had a very itchy tummy in my last trimester. my midwife just said it was the tummy stretching. ive never heard of PUPPS. i just moisterised it every day in my eczema cream
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jorgesgirl
replied on October 9th, 2007
Experienced User
I have eczema too and when I got pregnant I didn't have a serious case only a few spots that were going away. I have delt with eczema my entire life but when I got pregnant, my skin broke out so bad that I had no idea what it was and that was why I went to the doctor. We both noticed then that I was late for af and he did a blood test just to be sure before I got my meds filled. He called me a week later and told me that the blood results had come back and that I was pregnant and that it must be the my hormones reacting to the pregnancy.

To make a long story short... there was not much medicine that I could take. I ended up getting referred to a dematologist and she gave me some cream that made me all better. But I was able to use that Calamine lotion (I think that is how it's spelled) and some anti-itch cream that is spelled something like Cortozione. I have a few marks on me because having eczema leaves marks but I don't think you have that Suzy because you prob. would have had known about it. Try some Aveeno Lotion and see if that helps. Don't forget to check with your doctor too. Smile
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young Girl
replied on October 10th, 2007
Especially eHealthy
rosejackson wrote:
i had a very itchy tummy in my last trimester. my midwife just said it was the tummy stretching. ive never heard of PUPPS. i just moisterised it every day in my eczema cream


yeah but now its like a rash spreding everywhere!
lol im going to ask my OB about it at my nxt appt
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