HomeAnswersDermatologypruritic urticarial papules and plaques of pregnancyMy wife developed rashes on her thighs after delivery that does not respond to medications. Why?

How to manage my wife's rashes on her thighs after delivery that do not respond to medications?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 14, 2022
Reviewed AtJanuary 29, 2024

Patient's Query

Hello doctor,

My wife delivered a baby last year, and for the past ten months, she has been facing rashes on her thighs. Earlier she was using Surfaz SN Cream and Candid Gold powder as recommended by her gynecologist. But this skin issue has increased in the past month, and Surfaz SN Cream looks ineffective. I am attaching the pictures for reference.

Hello,

Welcome to icliniq.com.

Postpartum (post delivery) rashes on the thigh and body, in general, is a common phenomenon experienced by most women due to the sudden physical changes in the body during pregnancy and the slow regularization of your body to the pre-pregnancy state. It is caused due to hypersensitivity of your skin to external agents, which could be any agent like dust, insect bites, or climate changes. The condition is PUPPP (pruritic urticarial papules and plaques of pregnancy). You may look it up for easy understanding. I want to assure you that it is treatable and would eventually subside even without medications with time once your body gets adapted to the pre-pregnancy state. I would suggest the following. Apply Betamethasone ointment on the rashes once daily, preferably at night before bed. Use a thin layer only. Do not apply too much. Use the medication for three weeks. Then take a break for two weeks and repeat the medication for three more weeks. Take regular intervals between applications. Take Tablet Fexofenadine 120 mg at night before going to bed is effective. It is safe during breastfeeding. But I would advise a gap of at least four hours between breastfeeding and consuming the medication. It is not essential to take this medication if you are worried about delaying breastfeeding. The ointment mentioned earlier is more than enough. Home remedies involve applying a wet cloth on the affected areas, and using aloe vera gel can be done throughout the day. Kindly follow the above advice. It will eventually fade off. I hope it could be of help.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty

Venereology

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