Post corticosteroid rash

The first line of treatment is to apply a strong (prescription-only) steroid cream or ointment such as fluticasone (Cutivate lotion) several times a day. For severe cases an oral corticosteroid, such as prednisone or prednisolone (Pediapred, Orapred, Flo-Pred) may be necessary to control itching. Oral antihistamines tend to be less effective but they can be useful in helping to get a good nights sleep. In particular antidiphenhydramine (Benadryl, Diphenhist, Allerdryl) has a soothing sedative effect and is also effective in treating pruritus (itching) resulting from histamines released during inflammatory reactions.

How Long Does It Take To Go?

Unfortunately delivery does not usually cure the problem overnight - on average it takes 4 to 6 weeks for the rash to clear up (the recovery period is independent of delivery, in other words, delivery doesn't appear to affect the duration of the disease). You will need to continue treatment until it resolves. If you need to take medications into the postpartum period, talk to your doctor about potential adverse effects with breastfeeding.

Self Help Remedies

In addition to steroids, other things you can do to relieve itching include:

• Avoid hot showers and baths, instead take cool baths. Add an oatmeal bath preparation to your baths to soothe your skin (available in most drugstores).
• Put cool, wet compresses on itchy areas.
• Wear light cotton clothing.
• Avoid going out in the hottest part of the day as this can intensify itching.

I tend to think it is a contact dermatitis; but think the corticosteroid was not enough.  Your skin appears very dry.  Try aloe gel to help hydrate your skin, including the itchy area.  After you apply the aloe, put some hydrocortisone lotion on the itchy area - or you can try calamine lotion.  Also, might want to alternate with witch hazel solution.  Witch hazel is cooling and somewhat astringent.  Since your skin looks dry, consider taking Vitamin E and A by mouth which may help the overall health of your skin.  Also, Vitamin B complex may be helpful.   

“PUPPS is like being in hell. I had my baby 3 weeks ago and started getting the rash on my belly, knees, and breasts around one-week postpartum. My OB called a dermatologist and they diagnosed me with PUPPS rash postpartum and told me to take Zyrtec. It isn’t working at all. I had hoped after the birth of my baby all of these pregnancy symptoms would clear up. Apparently I was wrong. Since the Zyrtec isn’t working, they called me in a prescription steroid cream. I need the itching to go away and FAST! I feel like I want to dig all of my skin off.” ---- Cindy

My itching started 10 days after giving birth to my son. my obgyn said it was not Pupp because “Pupp only occurs during prgnancy.” So I went to my family doctor and he said he had treated 3 cases of Pupp after delivery and he was sure what I had was Pupp. He prescribed prednisone for 7 days and the itch went away after day two. However 3 days after i finioshed the dosage, the itch came back. Its been two weeks since then and I am still itching. Hot compresses before bed seem to give me enough relief for me to fall asleep.

Post corticosteroid rash

post corticosteroid rash

My itching started 10 days after giving birth to my son. my obgyn said it was not Pupp because “Pupp only occurs during prgnancy.” So I went to my family doctor and he said he had treated 3 cases of Pupp after delivery and he was sure what I had was Pupp. He prescribed prednisone for 7 days and the itch went away after day two. However 3 days after i finioshed the dosage, the itch came back. Its been two weeks since then and I am still itching. Hot compresses before bed seem to give me enough relief for me to fall asleep.

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