If this is your first time hearing of PUPPS, or Pruritic Urticarial Papules and Plaques, I can relate. I had never heard of it until I began frantically searching the internet for why this strange rash was gradually overtaking my body at 26 weeks pregnant. And it itched. Man, did it itch. I was tested for Obstetric Cholestasis, a liver disorder impacting pregnant women that comes with itchy feet and palms. Thankfully, the results were negative. PUPPS, however, has no test and there is no cure except to deliver the baby. Since it causes no harm (and I use the word “harm” loosely – as slowly going crazy seemed likely at the time) to the mother or child, OBs generally don’t take action. Additionally, since there is no test for PUPPS, you may find your OB skeptical that you didn’t just come in contact with an allergen – like mine. My OB provided me with some methylprednisolone and suggested cortisol cream in moderation. None of it helped.