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Pruritic urticarial papules and plaques of pregnancy in twin and triplet pregnancies
Author(s) -
Elling Sv,
McKenna P,
Powell Fc
Publication year - 2000
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1046/j.1468-3083.2000.00026.x
Subject(s) - medicine , pregnancy , obstetrics , etiology , twin pregnancy , gynecology , fetus , pathology , genetics , biology
Background Pruritic urticarial papules and plaques of pregnancy (PUPPP) is a common dermatosis of unknown aetiology. Multiple pregnancies occur frequently in most reported series of PUPPP and increased abdominal distension has been considered a factor in its causation. Objectives To determine the frequency of PUPPP in twin and triplet pregnancies. Methods A retrospective review of all the records of patients delivered of twin or triplet pregnancies over an 18‐month period at a busy general maternity hospital. Results One hundred and thirty‐eight women delivered twins, four of whom developed PUPPP (2.9%). Fourteen women delivered triplet pregnancies, two of whom developed PUPPP (14%). Four of these six multiple pregnancies were conceived by in vitro fertilization. Conclusions The reported rate of PUPPP in single pregnancies is 1 in 200 (0.5%). Our findings suggest that multiple pregnancies are at a higher risk of developing this cutaneous eruption with 2.9% of twin and 14% of triplet pregnancies affected in our study.