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Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 20 Feb 2003 22:10:34 EST
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Dear Jan and all,
    I have seen several cases finally classified as PUPPP.  Two were in twin
moms, with symptoms appearing in the first week, not during pregnancy.
Started in the c-sec incision area and was first thought to be sensitivity to
tape and they progressed to rest of trunk and arms/legs.
    Both moms started corticosteroids and topicals.  Docs speculated on
hormone relationship, too, but didn't push weaning.  One mom took 8 miserable
weeks to resolve.  She has just delivered a singleton and has it again!

Jan Ellen Brown IBCLC
Charlotte, NC

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