I too developed PUPPP in January but was able to get into a bio-kinesionics practitioner for help. While this condition can be the result of liver problems, another source of the problem can be the adrenals being maxed out as well as a candida problem. My whole hormonal system was completely out of balance and I had to take a variety of herbs to help correct this problem and support the adrenals. food sensitivities can also play a part.