Coping with Pruritic Urticarial Papules and Plaques (PUPPS)
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First of all, let me just say I am so sorry you’re in this position. I spent plenty of time frantically perusing the internet for something, ANYTHING to help alleviate the total madness PUPPS inspired in me. I also threw away money on products people all over the internet recommended. But before I tell you what I went through, I’ll go ahead and cut to the chase and tell you: try Coconut Oil. It may sound bizarre, and even my doctor rolled his eyes at me when I told him that it was the only thing that helped, but slathering my body in coconut oil was the only thing that kept me from totally losing my mind.
If this is your first time hearing of PUPPS, or Pruritic Urticarial Papules and Plaques, I can relate. I had never heard of it until I began frantically searching the internet for why this strange rash was gradually overtaking my body at 26 weeks pregnant. And it itched. Man, did it itch. So, I was tested for Obstetric Cholestasis, a liver disorder impacting pregnant women that comes with itchy feet and palms. Thankfully, the results were negative.
PUPPS, however, has no test and there is no cure except to deliver the baby. Since it causes no harm (and I use the word “harm” loosely – as slowly going crazy seemed likely at the time) to the mother or child, OBs generally don’t take action. Additionally, since there is no test for PUPPS, you may find your OB skeptical that you didn’t just come in contact with an allergen – like mine. In my case, my OB provided me with some methylprednisolone and suggested cortisol cream in moderation. None of it helped.
Anyway, in my case the coconut oil was a life saver. At first, it alleviated some of the itchiness and actually allowed me to sleep, which was a game changer. Eventually it actually lightened the rash in some areas (not all – don’t get your hopes too high) and allowed me to go through my day without wanting to take a cheese grater to my skin.