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

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