Polymorphic eruption of pregnancy with palmoplantar involvement that developed after delivery

Polymorphic eruption of pregnancy is the most common specific dermatosis of pregnancy. It usually develops in the third trimester and rapidly resolves in the first weeks postpartum. Intensely pruritic urticarial papules and plaques initially occur on the abdomen and/or proximal thighs, particularly within or adjacent to striae distensae with periumbilical sparing, and usually tend to spread to affect the peripheral limbs, buttocks, chest and back. The face, palmoplantar regions and mucosal surfaces are generally spared. Here, we report a case of polymorphic eruption of pregnancy associated with palmoplantar involvement that developed in the postpartum period.