Re: HELP 4 PUPP - rash spreading; itchiness driving me crazy

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• In reply to: Maria: "HELP 4 PUPP - rash spreading; itchiness driving me crazy"

I've never seen it go to the face and rarely to the back so what you see is what you'll probably get.

>2. I have been prescribed,by my dermatologist, a jar of triamcinolone
>acetonide cream (0.1%, to be used 2-3 times per day)to fight the
>rampant, vicious itchiness. I have already used Benadryl capsules (50
>mg), Benadryl cream, 1% hydrocortisone, Gold Bond Medicated Powder and
>the relief is only temporary.

PUPPS relief is, at best, going to be, temporary.

> A few hours at best and then the rage of
>itches begin again.. it is almost like being bitten by ants all day!
>Any other alternatives?

Aveeno oatmeal bath - not better than what you've been on, just different.

>
>3. When is it safe to induce labor in my situation if the PUPP gets
>worse? It is barely tolerable as it is now. How soon could I try
>steroid shots????

The earliest one might consider induction would be 38 weeks. At 37, there is still a risk of respiratory distress and honestly not worth saving a week, no matter how bad one feels.

>I am practically on the brink of depression. If it were not for the
>fact that I am pregnant with my beloved first child (a boy), I'd have
>contemplated suicide this week.

In that vein, you may wish to consider counselling to help you with such understandable thoughts at this definitely stressful (physically and psychologically) time.

Hope this helps and write back anytime for more information.

Dr. M

>Please, please, please, please help.
>
>--
>Maria M
>Mommy to Nathan Andrew
>EDD Nov. 14, 2001 (33 wks and counting!)
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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