For the past few nights, i have been waking up at 2-3 am just to scratch. Caught all the old mediacorp serials on TV (五脚记) because i simply just can't sleep. I have actually taken ice cold showers at 2 am, and cry in my bath. For fleeting moments, i actually thought of driving down to KK and ask them to induce the baby.
Called KKH, they say if it is an emergency, go down to A&E. If it's not an emergency, i can wait till Thursday to see gynae. Kaoz, it's not a life/death situation now, but i am super suffering... And seems like there is nothing much i can do now I miss the days with my private gynae, where i can just ring up the nurse and they can connect me with the doctor within the next hour or so ... sob
Sigh, this is the worst sympton i have so far...and it is sheer torture
Here are some pictures of the areas of attack. I got worse photos, but since this is a public blog, it's not very appropriate to show here self diagnose from the internet: PUPPP
Pruritic urticarial papules and plaques of pregnancy (PUPPP), also known as polymorphic eruption of pregnancy, is the most common rash in pregnant women. It normally occurs in first pregnancies during the third trimester with an average onset of 35 weeks. Thankfully, PUPPP does not usually affect subsequent pregnancies.
Pruritic urticarial papules and plaques of pregnancy (PUPPP), also known as polymorphic eruption of pregnancy, is the most common rash in pregnant women. It normally occurs in first pregnancies during the third trimester with an average onset of 35 weeks. Thankfully, PUPPP does not usually affect subsequent pregnancies.
Appearance of PUPPPThe rash of PUPPP almost always begins in the stretch marks (striae) of the abdomen. It does not involve the belly button distinguishing it from other common rashes of pregnancy. The rash itself consists of small, red wheals in the stretch marks that grow together to form larger wheals on the abdomen. Sometimes the rash can include small vesicles. Over the next several days, the rash can spread over the thighs, buttocks, breasts, and arms.
The rash is very itchy, or pruritic, hence the name. This condition is harmless to mother and baby, but can be very annoying (annoying is an understatement for me). It lasts an average of 6 weeks and resolves spontaneously 1 to 2 weeks after delivery. The most severe itching normally lasts for no more than 1 week.
Cause of PUPPPThe cause of PUPPP is unknown. It is not associated with preeclampsia, autoimmune disorders, hormonal abnormalities, or fetal abnormalities. Some investigators suggest that the rapid abdominal wall distension damages connective tissue and causes an inflammatory response. One study has shown that male fetal DNA can be found in skin biopsies of the rash. Since 70% of women with PUPPP give birth to boys, a new hypothesis is that male fetal DNA acts as a skin irritant. (How true, i'm expecting a boy)
Diagnosis of PUPPPThe diagnosis of PUPPP is clinical, meaning it is based solely on the appearance of the rash. There are no laboratory tests that detect PUPPP. Skin biopsies are not generally performed unless there is a question about the diagnosis.
Treatment of PUPPPThe treatment of PUPPP is symptomatic. High strength
Info extracted from : http://dermatology.about.com/cs/pregnancy/a/puppp.htm
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