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36 years
Apres l'accouchement jai eu des boutons dans mes pieds et apres partout ds mn corps. Jai pris claritine et histamed f mais ca exisite tjs.que faire?
Nov 17, 2015
2nd opinion

Dr. Zakia Dimassi Pediatrics
This could be Pruritic urticarial papules and plaques of pregnancy or PUPPPs. This is the name for an itchy rash that sometimes appears in pregnancy. Up to 1% of pregnant women develop it, and while uncomfortable. It is a benign condition. It usually begins in the 3rd trimester of pregnancy (around week 35) and can last up to 2 weeks after childbirth. In 15% of the cases however the rash first appears in the first two weeks after delivery of the baby. PUPPPS is more common in women with twin pregnancy and those who are having their first baby.

The rash is characterized by the following features:
• Red bumpy skin with large patches of itchy hives.
• Severe itching (pruritus) typically lasts about a week although the rash may remain 4 to 6 weeks.
• Typically the rash develops in stretch marks, but it can also appear on the thighs, buttocks, breasts and arms. The hands and feet are usually spared.

In order to make the diagnosis of PUPPPS, you need to be examined by your doctor so that he/she can look at the skin rash and identify the characteristics of it.

The first line of treatment is potent topical steroid creams or ointments. Oral antihistamines are not as effective but they can be help you get a good nights sleep.

On average, PUPPPS takes 4 to 6 weeks to fade away completely. Treatment needs to be continued until the rash resolves. If you need to take medications into the postpartum period, talk to your doctor about potential adverse effects on breastfeeding.

In addition to steroids, other things you can do to relieve itching include:

• Avoid hot showers and baths, instead take cool baths. Add an oatmeal bath preparation to your baths to soothe your skin (available in most drugstores). 
• Put cool, wet compresses on itchy areas. 
• Wear light cotton clothing.
• Avoid going out in the hottest part of the day as this can intensify itching.
 • 
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