John Libbey Eurotext

European Journal of Dermatology


Postpartum pruritic urticarial papules and plaques of pregnancy with blister formation resembling herpes gestationis Volume 29, numéro 6, November-December 2019


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1 Department of Dermatology, Nara Medical University School of Medicine, 840 Shijo, Kashihara, Nara 634-8522,
2 Department of Dermatology, Kurume University School of Medicine, 67 Asahimachi, Kurume, Fukuoka, 830-0011,
3 Department of Dermatology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno, Osaka 545-8585, Japan

Pruritic urticarial papules and plaques of pregnancy (PUPPP) is an intensely pruritic type of dermatosis associated with pregnancy [1]. Postpartum onset is only seen in ∼15% of cases [2-5]. Although small vesicles occur in 44% of cases, large bullae have never been reported [3].We report an unusual case of PUPPP, in which skin lesions with multiple vesicles and bullae developed at three days postpartum. The absence of anti-basement membrane zone (BMZ) antibodies ruled out herpes gestationis (HG).A [...]