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What Is Prurigo of Pregnancy?
Prurigo of pregnancy, also known as papular dermatitis of pregnancy or prurigo gestationis, is a skin condition that shows up as small, raised bumps that itch a lot. You will usually see these bumps in shades of pink, red, or purple, and sometimes they have a slightly crusty or scaly centre. Each is typically 1 to 5 millimetres in size.You will often notice the rash beginning on the backs of your elbows or knees, especially in the folds near the joints. Over time, it can spread to your shoulders, arms, legs, or even your belly. It can be uncomfortable and distracting, but it is important to know that prurigo of pregnancy is limited to the surface of your skin. It does not harm you or your baby.
How Common is Prurigo of Pregnancy
Prurigo of pregnancy appears in about one in every 300 to 450 pregnancies. For many women, it begins in the second or third trimester, when their bodies are busy adjusting to the growing baby. In some cases, it may appear earlier in the first trimester.The good part is that it often settles down soon after your baby arrives, although a few spots might stay for a few more weeks.
What are the Symptoms of Prurigo of Pregnancy
You will usually notice a mix of the following symptoms when prurigo begins to show up on your skin:- Intense itching that can disturb your sleep or daily routine.
- Small raised bumps that cluster together and may spread over larger patches.
- Bumps that feel dry and bumpy with a flaky or crusty texture.
- Colours ranging from pink to deep red or purple.
- Worsening irritation when you scratch the affected area.
- Rash that can appear on your arms, legs, stomach, or almost anywhere on your body.
- Itching that becomes severe enough to interfere with rest or comfort.
What Causes Prurigo of Pregnancy
Doctors aren’t completely sure what causes it, but several factors seem to play a part:- Hormonal changes that happen as your body supports the growing baby
- Shifts in your immune system during pregnancy
- A tendency toward allergies or sensitive skin
- Increased blood volume can heighten skin reactions
- Possible links with cholestasis of pregnancy (a condition that affects the liver)
- Heat and humidity can make itching or flare-ups worse
- A family history of eczema or psoriasis
- Higher occurrence in women under the age of 30
- Stress that can trigger or worsen itching
- A diet high in processed foods, which may aggravate inflammation
How is Prurigo of Pregnancy Diagnosed
Spotting prurigo usually starts with a simple visit to your doctor. They will ask when the itching or bumps first appeared and take a close look at your skin during a physical exam. To rule out other causes, your doctor may recommend simple tests, such as blood or urine samples. These help rule out conditions such as cholestasis of pregnancy or autoimmune conditions.In most cases, no specialised scans or biopsies are needed because the rash is usually easy to identify on examination.
What are the Treatment Options for Prurigo of Pregnancy
These are the treatments commonly used:- Oral antihistamines that reduce itching and help you sleep better.
- Topical steroid creams or ointments to bring down redness and swelling.
- Menthol-based lotions provide a cooling, soothing effect.
- Calamine lotion for quick relief.
- Other topical treatments prescribed by your doctor to reduce irritation.
- Guidance on safe products to use if you already have sensitive skin.
How to Prevent Prurigo of Pregnancy
There is no guaranteed way to avoid prurigo of pregnancy, but healthy skin habits can lower the chances of flare-ups and make symptoms more manageable:- Maintain good hygiene by washing gently and regularly moisturising.
- Drink plenty of water to keep your skin hydrated from within.
- Eat a balanced diet rich in fruits, vegetables, and healthy fats.
- Manage stress with practices such as yoga, stretching, or calming breathing exercises.
- Avoid known allergens or irritants that tend to trigger your skin.
- Choose natural, breathable fabrics to reduce sweat and friction.
- Keep up with routine check-ups so your doctor can spot early signs.
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FAQs on Dealing With Prurigo of Pregnancy: A Complete Guide
- Is prurigo of pregnancy contagious?
No, it is not infectious and cannot spread to your partner, children or anyone through touch. - Will prurigo of pregnancy leave permanent marks?
No, the bumps usually resolve after delivery and do not leave any permanent marks or scars.