“…In fact, PPP often occurs in the last trimester of pregnancy [6][7][8][9][14][15][16]20,21,[24][25][26][27]30,32,35,37 but occurrence in the second trimester is not rare. [10][11][12]15,[17][18][19]23,28,29,31,33,34,36,39 Early onset at the first trimester of pregnancy is unusual and was reported only in three patients with no history of GPP. 5,22 Half of patients (4/8 cases) in our series, and one-third (13/39) in the systematic review had a personal history of psoriasis.…”