Darlene Breed RN BSN IBCLC ------------------------------------------------------------------------- ------- On Thu, 2 Mar 2000 17:28:31 +0100 Rachel e-mail <[log in to unmask]> writes: > I seem to have missed the post where these initials were defined, and > because the acronym is the same as the common word used for breasts > here, I am curious. Could someone send me a private e-mail and > explain it please? > Rachel ! Rachel, Searching the archives I found a post I sent back in 1996. Here it is. It is always wise to search the archives. Lots of good information there. This is the information I found in Current Obstetric & Gynecologic Diagnosis & Treatment, hope it helps: "Pruritic Urticaria Papules & Plaques of Pregnancy (puppp) This is a rare syndrome of red, pruritic papules principally on the abdomen and thighs without excoriations. The lesions usually occur late in pregnancy and disappear within two weeks after delivery. In many, a marked halo surrounds the small papules and plaques. Focal lesions are rare, and they are never on the face or distal extremities. There are no abnormal hCG levels and immunoflorescence reveals no immunoglobulin complement. Symptomatic treatment and occasionally corticosteroid therapy are curative in resistant cases. Herpes Gestationis This uncommon (2-3:10,000 gestations) eruption appears in the second and third trimester of pregnancy. It features erythematous plaques with vesicles that soon form bullae in the periphery of the lesion. Because it is a blistering eruption, it has a herpetiform appearance, but the vesicles are not clustered and are more peripheral. Lesions usually begin on the trunk and spread to the entire body, including the distal extremities. Lesions on mucous membranes are uncommon. ..the course is characterized by exacerbations and remissions during pregnancy. While significant exacerbations can occur postpartum, the condition usually abates by the sixth week. Although its cause is not known, it is suspected to be related to hormone levels, since progestins can produce exacerbations. The course of herpes gestationis in subsequent pregnancies is not predictable. Corticosteroids are the treatment of choice.Thank you, Darlene Breed, BSN, RN, IBCLC Coordinator, Milk Bank & Breastfeeding Center, Worcester, MA (USA) Treasurer, Human Milk Bank Association of North America (HMBANA) <[log in to unmask]> ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html