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What Causes Itchy Rashes On Lower Abdomen During Pregnancy?

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Posted on Thu, 12 Mar 2015
Question: I am 3 months pregnant and i am having itchy rashes in my lower abdomen for more than 45 days. Currently i am applying calamine lotion which is not helping me.No cure yet. I am so upset because of this rashes.I am little afraid whether it will affect my child. What is the other solution to get rid of this problem.Kindly suggest. I am hopeless
doctor
Answered by Dr. Dr. Kakkar (20 minutes later)
Brief Answer:
I suggest a possibility of Lichen Planus

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have noted down your complaints.

I have also reviewed the Images that you previously shared with Dr. XXXXXXX XXXXXXX in which these skin lesions were diagnosed as pruritic urticaria papules and plaques of pregnancy/ PUPPP.

This is certainly not PUPPP. I will like to revise the diagnosis to Lichen Planus.

Lichen Planus is an extremely itchy skin condition and usually presents with itchy, violaceous/ purple colored, shiny papules.
The areas usually affected with Lichen planus are flanks of abdomen, wrists, lower legs/ shins etc.
PUPPP, on the other hand is uncommon so early in pregnancy and it usually happens late in pregnancy (3 rd trimester). Lesions of PUPPP are different from what I can see in these Images.

-Do you have these rashes elsewhere on your body?

I can see on my dashboard that I had answered one of your previous query regarding itchy rashes on legs. I had requested for Images at that time but I never got them and the query got closed.
I guess the rashes on your legs are also most likely due to Lichen planus.

I suggest you to use a topical potent steroid e.g clobetasol propionate 0.05% cream, twice daily, on the affected area.
Topical steroids are absolutely safe in pregnancy.

An Oral antihistamine e.g Hydroxyzine 25 mg twice daily or thrice daily is safe in pregnancy.
This will provide you symptomatic relief in pregnancy

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (11 minutes later)
I dont have rashes elsewhere on by body other than my abdomen.I used calamine lotion and still its itchy. I have checked Lichen Planus on net and i could relate that is not my case in my leg rashes(no redness ).I think rashes in my legs are because of dryness. After using that calamine lotion for my abdomen, the rashes become black colour and dried off, but not completely cured. Kindly help me out. What is this actually.
doctor
Answered by Dr. Dr. Kakkar (17 minutes later)
Brief Answer:
I suggest a possibility of lichen planus

Detailed Answer:
Hello XXXXXX

Thank you for your clarification and additional information. It is helpful.

This looks very much like Lichen Planus. I can't deny the classic look of it and I will still like to keep the same clinical diagnosis.

Calamine won't provide much relief as you must have already noticed.
These rashes would only respond to topical steroid, as I mentioned in my previous reply.

An Oral antihistamine e.g Hydroxyzine 25 mg twice daily or thrice daily is safe in pregnancy and provide you symptomatic relief in pregnancy.

Dear User, Images on internet depict various severity of a particular skin condition and for a it is not easy to relate these images to the actual skin condition that one has.

Regards
Take care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Itchy Rashes On Lower Abdomen During Pregnancy?

Brief Answer: I suggest a possibility of Lichen Planus Detailed Answer: Hello. Thank you for writing to us at healthcaremagic I have gone through your query and I have noted down your complaints. I have also reviewed the Images that you previously shared with Dr. XXXXXXX XXXXXXX in which these skin lesions were diagnosed as pruritic urticaria papules and plaques of pregnancy/ PUPPP. This is certainly not PUPPP. I will like to revise the diagnosis to Lichen Planus. Lichen Planus is an extremely itchy skin condition and usually presents with itchy, violaceous/ purple colored, shiny papules. The areas usually affected with Lichen planus are flanks of abdomen, wrists, lower legs/ shins etc. PUPPP, on the other hand is uncommon so early in pregnancy and it usually happens late in pregnancy (3 rd trimester). Lesions of PUPPP are different from what I can see in these Images. -Do you have these rashes elsewhere on your body? I can see on my dashboard that I had answered one of your previous query regarding itchy rashes on legs. I had requested for Images at that time but I never got them and the query got closed. I guess the rashes on your legs are also most likely due to Lichen planus. I suggest you to use a topical potent steroid e.g clobetasol propionate 0.05% cream, twice daily, on the affected area. Topical steroids are absolutely safe in pregnancy. An Oral antihistamine e.g Hydroxyzine 25 mg twice daily or thrice daily is safe in pregnancy. This will provide you symptomatic relief in pregnancy Regards