I self diagnosed myself with the same via immense online research in between my OB appointments and found the recommendation for Dandelion Root....desperate having tried Pure topical Vitamin E oil etc. I began using the D.R. capsules with cocoa butter topically and shocked my doctors when they saw the results (with their knowledge of just how bad PUPPS can be). I showed them before pictures and in person a week later my belly in testimony to how effective my self therapy was. They actually asked me what I did and took notes for future patients. I hope this helps anyone in the future afflicted with the PUPPS.