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Specific dermatoses of pregnancy refer to a group of skin diseases that are encountered predominantly during or immediately followingpregnancy. This is a case report of pruritic urticarial papules and plaques of pregnancy developing in a 29-year-old lady primigravida ladyis associated with overt diabetes with hypothyroidism, pre-eclampsia and anemia. The diagnosis of PUPPP is a clinical one, as thehistopathology is often nonspecific and the direct immunofluorescence is negative. She responded to treatment with antipruritic topicalmedication, topical steroid and oral antihistamine. Prompt and effective management is very important in decreasing maternal and fetalmortality and morbidity when we come across a pregnant mother with multiple problems.

Pruritic Urticarial Papules and Plaques of Pregnancy Developing in a Gravida having Overt Diabetes with Hypothyroidism, Pre-eclampsia and Anemia