Dermatoses of pregnancy

Dermatoses of pregnancy
SpecialtyDermatology, obstetrics

Dermatoses of pregnancy are the inflammatory skin diseases that begin during pregnancy or shortly after childbirth.[1]

Atopic eruption of pregnancy

Atopic eruption of pregnancy is a group of inflammatory skin conditions in pregnancy, covering those with flare-ups of pre-existing skin conditions and those presenting with skin signs for the first time in pregnancy.[2]

ConditionImageOnset in pregnancySigns and symptomsTreatmentFrequencyOutcome
Eczema of pregnancy
Prurigo gestationisWorse in early pregnancy[3]Itchy skin.[3] The skin appears normal in 15%-20%[3]
Pruritic folliculitis of pregnancyMid-to late pregnancy[4]Small follicular pustules scattered widely over the trunk.[4]Resolves by 2 or 3 weeks after delivery.[4]

Other

ConditionImageOnset in pregnancySigns and symptomsTreatmentFrequencyOutcome
Polymorphous eruption of pregnancyLate pregnancy, shortly after birth[4]Itchy red rash in striae of abdomen.[3]Moisturisers, steroid creams, antihistamines[2]1:120–1:300 pregnancies[2]Usually resolves after delivery and rarely recurs in subsequent pregnancies with same partner.[3] Does not affect baby.[3]
Impetigo herpetiformisLate[5]Fever, generalised redness, pustules[5]May harm baby[5]
Intrahepatic cholestasis of pregnancyLate[5]Generalized itching resulting in scratch marks, erosions and scabs[5]Ursodeoxycholic acid[5]Incidence - 0.3–5.6%[2]May harm baby[5]

See also

References

  1. Himeles, Jaclyn Rosenthal; Pomeranz, Miriam Keltz (1 October 2022). "Recognizing, Diagnosing, and Managing Pregnancy Dermatoses". Obstetrics and Gynecology. 140 (4): 679–695. doi:10.1097/AOG.0000000000004938. ISSN 1873-233X. PMID 36075066. Archived from the original on 30 June 2023. Retrieved 15 May 2023.
  2. 1 2 3 4 Stefaniak, Aleksandra A.; Pereira, Manuel P.; Zeidler, Claudia; Ständer, Sonja (March 2022). "Pruritus in Pregnancy". American Journal of Clinical Dermatology. 23 (2): 231–246. doi:10.1007/s40257-021-00668-7. ISSN 1179-1888. PMID 35191007. Archived from the original on 2022-08-19. Retrieved 2023-05-16.
  3. 1 2 3 4 5 6 Morris-Jones, Rachel (2019). "10. The skin and systemic disease". In Morris-Jones, Rachael (ed.). ABC of Dermatology (7th ed.). Hoboken: Wiley Blackwell. p. 84. ISBN 978-1-119-48899-6. Archived from the original on 2023-06-30. Retrieved 2023-05-16.
  4. 1 2 3 4 James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "21. Chronic blistering dermatoses". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. pp. 464–466. ISBN 978-0-323-54753-6. Archived from the original on 2023-06-30. Retrieved 2023-05-15.
  5. 1 2 3 4 5 6 7 Kurien, George; Badri, Talel (2023). "Dermatoses of Pregnancy". StatPearls. StatPearls Publishing. Archived from the original on 2023-06-30. Retrieved 2023-05-16.
Classification
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