Polymorphic eruption of pregnancy

Polymorphic eruption of pregnancy – aka pruritic urticarial papules and plaques of pregnancy – is a benign, self-limited skin condition that is characterised by erythematous papules and urticarial plaques during the third trimester or immediate postpartum period. It typically affects primigravidas.

• Signs and symptoms
  • Erythematous papules and urticarial plaques
    • First appears in abdominal striae
    • Spreads to the buttocks, thighs, and upper extremities
    • Spares the periumbilical region, face, and mucosal surfaces
• Treatment
  • Resolves postpartum without complications
  • Emollients and topical corticosteroids to relieve pruritus
  • Oral antihistamines for severe pruritus