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Pruritic Urticarial Papules and Plaques of Pregnancy

By

The Manual's Editorial Staff

Last full review/revision Jun 2021| Content last modified Jun 2021
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What are pruritic urticarial papules and plaques of pregnancy?

They are intensely itchy rashes that happen only when you're pregnant. The rash:

  • Usually appears during the last 2 to 3 weeks of being pregnant

  • Consists of red, irregularly shaped, and slightly raised patches, sometimes with tiny blisters in the center

  • Appears on your belly and then spreads to your thighs, bottom, and sometimes arms

  • Usually goes away shortly after delivery

  • Is common in first pregnancies—the rash usually doesn’t come back in future pregnancies

You may have hundreds of itchy patches. Often the skin around the patches is pale.

What causes these rashes?

No one knows what causes these rashes. Doctors may even have trouble making a definite diagnosis.

How do doctors treat these rashes?

Doctors will have you put a corticosteroid cream on your rash. Rarely, if your rash is severe, you may take a corticosteroid pill, such as prednisone.

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Fractures of the Jaw and Midface
Fractures to one or more facial structures can result from a single injury. Jaw fractures may occur to the mandible, or lower jaw, or to the maxilla, bone of the upper jaw. Other structures susceptible to fracture include the eye sockets, nose, and cheek bones. Which of the following facial structures is most likely to fracture if a person falls from a great height or hits the windshield of a car face-first during a motor vehicle accident?
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