The dermatoses of pregnancy represent a distinct heterogenous group of cutaneous disorders that can impact the health of the pregnant woman and potentially the fetus. A prospective study of 200 women with dermatoses of pregnancy correlating clinical findings with hormonal and immunopathological profiles. Ideal sources for wikipedia s health content are defined in the guideline wikipedia. Eight women had a bullous skin disease that occurred during pregnancy. While many physicians are familiar with the normal physiologic changes in pregnancy, knowledge on the rarer pregnancy specific dermatoses is oftentimes lacking. Those who care for pregnant women are left to try to differentiate these conditions. This presentation highlights the pregnancy specif slideshare uses cookies to improve functionality and performance, and to. Lewis, colonel, mc, usa fort sam houston, tx pregnancy is a period of profound endocrine and metabolic changes which are tolerated by the body for a relatively short time. Dermatoses of pregnancy may be physiological changes, preexisting changes or those specific to the pregnancy. While some authors highlight the existence of premises allowing several skin disorders to be regrouped within broader disease concepts, others underline the absence of clear, undisputed etiopathogenetic data that could support such classifications. Diagnostic clues are outlined in a diagrammatic way that can facilitate the recognition between dermatoses of pregnancy in daily dermatology clinic practice.
This may lead to misdiagnosis and mistreatment of the patients. Also known as eczema in pregnancy, prurigo of pregnancy, pruritic folliculitis of pregnancy, papular dermatoses of pregnancy. The pdf file you selected should load here if your web browser has a pdf reader plugin installed for example, a recent version of adobe acrobat reader. Atopic dermatitis in pregnancy prurigo of pregnancy besnier prurigo intensely itchy papules pruritic folliculitis of pregnancy pruritic folliculitis itchy inflammation around the hair follicle. Mar 23, 2020 dermatoses is a general term used to describe any skin defect or lesion on the skin. The dermatoses of pregnancy are a heterogeneous group of pruritic inflammatory dermatoses that occur exclusively during pregnancy andor in the immediate postpa it seems to us that you have your javascript disabled on your browser. How are the specific dermatoses of pregnancy treated. A prospective study of 200 women with dermatoses of pregnancy. Dermatoses of pregnancy a pdf file should load here. Certain dermatoses are specifically seen in pregnancy or postpartum period. A collection from the editors of medscape dermatology.
Pregnancy specific skin dermatoses include an illdefined heterogeneous group of pruritic skin eruptions which are seen only in pregnancy. Most of these dermatoses resolve once the baby is born or slightly thereafter. Aa 1938 00 iournal of the american academy of dermatology volume 6 number 6 june, 1982 iii iiii iii ii i ii continuing medical education dermatoses of pregnancy george b. Skin changes and dermatoses of pregnancy slideshare. Here are links to possibly useful sources of information about dermatoses of pregnancy.
Pregnancy dermatoses describe a set of extremely pruritic dermatologic disorders that uniquely present in the gestational period. At the first meeting it was established that no best practices from national groups exists. The dermatoses of pregnancy can be classified into the following 3 groups. Hormonal changes in pregnancy may result in physiological alterations in the skin, hair and nails. Frequency and clinical variants of specific dermatoses in third trimester of pregnancy. Aep is the most common of the pregnancy dermatoses incidence 1. As a service to our customers we are providing this early version of the. This study emphasizes that the prevalence of physiological skin changes 94. As a consequence, some common dermatoses can present more frequently in pregnant women. Levels of evidence and grades of recommendation much has been written in recent years on the need for clinical guidelines and the criteria they should meet for development and application, as well as. Progress and new directions in the investigation of the specific dermatoses of pregnancy.
It is therefore important for the clinicians to recognize and treat these cutaneous disorders to minimize maternal and fetal morbidity. The specific dermatoses of pregnancy are a rare group of skin diseases specifically related to pregnancy. Specific dermatoses of pregnancy and their treatment. But meticulous observation and examination should be done, as pregnancy can influence many. Impetigo herpetiformis is characterized by uniform superficial spongiform pustules and less pruritus. Jan 01, 20 during pregnancy immunologic endocrine metabolic and vascular changes occur that make the pregnant woman susceptible to skin changes both physiologic and pathologic. We will discuss the course of autoimmune blistering diseases during. Get a printable copy pdf file of the complete article 668k, or click on a page image below to browse page by page. Changes in the skin during pregnancy may be divided into physiological changes and pregnancy specific dermatoses. Impetigo herpetiformis is a rare noninfectious pustular dermatosis of pregnancy.
Oral contraceptives reproduced the disease in the pemphigus patient and. In this context of the immunology of healthy pregnancy, the term of fetalmaternal tolerance and the consequences of the lost or damaged tolerance during early or late pregnancy will be briefly introduced. Dermatoses of pregnancy cutaneous conditions medical. We discuss four major pregnancyspecific dermatoses. Full text full text is available as a scanned copy of the original print version. These diseases include pemphigoid gestationis, polymorphic eruption of pregnancy, intrahepatic cholestasis of pregnancy, and atopic eruption of pregnancy.
Dermatological disorders of pregnancy october 29th, 2016. Apr 16, 2020 the specific dermatoses of pregnancy are a rare group of skin diseases specifically related to pregnancy. To the best of our knowledge this is the first study carried out on pregnancy dermatoses in benghazi, libya. Dermatoses of pregnancy clues to diagnosis, fetal risk. At end of the article you will also find a table summarizing the. The chapters are well organized, beginning with a basic discussion of hormonal changes that are seen during puberty, pregnancy, and menopause, followed by a chapter on perimenstrual skin eruptions. The main diseases under this heading include pruritic urticarial papules and plaques of pregnancy, pemphigoid gestationis, intrahepatic. Sep 10, 2012 some aspects regarding the etiology and the nosologic classification of various pregnancy dermatoses are highly controversial.
The inflammatory dermatoses that occur during pregnancy have been reported under a variety of confusing terms, such as erythema multiforme of pregnancy, 1 prurigo annularis, 2 toxaemic rash of pregnancy, 3 prurigo gestationis of besnier, 4 lateonset prurigo of pregnancy pp, 5 pruritic urticarial papules and plaques of pregnancy, 6 and papular dermatitis of pregnancy. Bullous dermatoses of pregnancy jama dermatology jama network. Moreover, there is a group of specific dermatoses of pregnancy, in which we can distinguish atopic eruption of pregnancy aep, polymorphic eruption of pregnancy pep, pemphigoid gestationis pg, and icp 4. Atopic eruption of pregnancy is the most common of these. Appearance or darkening of a vertical band down the middle of abdominal skin linear nigra, which may normally appear paler than normal skin linear alba. These include atopic eruption of pregnancy, polymorphic eruption of pregnancy, pemphigoid gestationis and intrahepatic cholestasis of pregnancy. The relative rarity of these conditions, the often variable clinical appearance, and the lack of definitive diagnostic tests have led to confusion regarding the appropriate diagnosis and management of the specific dermatoses of pregnancy. Appearance or darkening of a vertical band down the middle of abdominal skin linear nigra, which may normally appear paler than normal skin linear albadarkening of areola, nipple and genital skin.
Pregnancyspecific skin dermatoses include an illdefined heterogeneous group of pruritic skin eruptions which are seen only in pregnancy. The dermatoses of pregnancy sachdeva s indian j dermatol. The specific dermatoses of pregnancy revisited and reclassified. Pemphigoid gestationis and intrahepatic cholestasis of pregnancy can be a source of significant fetal risk. One patient had clinical, histopathologic, and immunopathologic features of pemphigus. The pdf file you selected should load here if your web browser has a pdf reader plugin installed for example, a recent version of adobe acrobat reader if you would like more information about how to print, save, and work with pdfs, highwire press provides a helpful frequently asked questions about pdfs. Current study was designed to assess the frequency of specific dermatoses of pregnancy in a tertiary care. Pregnancy associated and other dermatoses of young women 1 kelly tyler, md, facog division of dermatology the ohio state university no disclosures i have no financial interest or other conflict of interest in relation to this program i have no relevant financial relationships to disclose 2 objectives recognize the most common.
A clinical study of pregnancyinduced dermatoses who emro. Department of dermatology, medical university of graz, graz, austria the specific dermatoses of pregnancy represent a heterogeneous group of pruritic skin diseases that have been recently reclassified and include pemphigoid herpes. Besniers prurigo, prurigo gestationis, nurses early onset prurigo of pregnancy it is the most common pregnancy specific dermatoses that includes eczematous or papular lesions in females with personal or family history of atopy and elevated ige accounting for nearly half of all patients. Diagnostic clues are outlined in a diagrammatic way that can facilitate the recognition.
Plan the fetal follow up required for gestational pemphigoid and advise the patient about. They are aphysiologic skin changes b dermatoses aggravated by pregnancy c dermatoses of pregnancy 3. Abstractthe specific dermatoses of pregnancy represent a heterogeneous group of pruritic skin diseases. In this period occurs many hormonal, immunologic and metabolic reactions. Dermatoses of pregnancy are the inflammatory skin diseases that are specific to women while they are pregnant. Only three of these conditions are considered unique to pregnancy, however. Dermatoses article about dermatoses by the free dictionary.
Excellent study that proposed a reclassification of specific dermatoses of pregnancy introducing the concept of atopic eruption of pregnancy. Atopic eruption of pregnancy is the most common of these disorders. Dermatoses of pregnancy clues to diagnosis, fetal risk and. Dermatoses unique to pregnancy are important to recognize for the clinician as they carry considerable morbidity for pregnant mothers and in some instances constitute a risk to the fetus. Dermatoses of pregnancy uq espace university of queensland. Correct diagnosis and classification are essential for the treatment of these disorders, when necessary. Atopic dermatitis in pregnancy prurigo of pregnancy besnier prurigo intensely itchy papules pruritic folliculitis of pregnancy pruritic folliculitis itchy inflammation around the hair. Nov 23, 2015 dermatoses of pregnancy may be physiological changes, preexisting changes or those specific to the pregnancy. Frequency and clinical variants of specific dermatoses in.
The specific dermatoses of pregnancy sciencedirect. If you would like more information about how to print, save, and work with pdfs, highwire press provides a helpful frequently asked questions about pdfs. Prurigo gestationis is an eruption consisting of pruritic, excoriated papules of the proximal limbs and upper trunk, most often occurring between the 20th and 34th week of gestation. The term atopic eruption of pregnancy aep groups together a number of conditions with similar features.
Most of the reported pregnancy dermatoses were benign with no adverse effect on the fetus. The specific dermatoses of pregnancy represent a heterogeneous group of pruritic skin diseases that have been recently reclassified and. Alternatively, you can download the file locally and open with any standalone pdf reader. Dermatosis of pregnancy canadian society of internal medicine. Dermatosis is a condition that affects the skin, nails, or hair. Links to pubmed are also available for selected references. Pustular psoriasis of pregnancy may be considered a fifth dermatosis of pregnancy, alongside the classic dermatoses of atopic eruption of pregnancy, intrahepatic cholestasis of pregnancy, pemphigoid gestationis, and pruritic urticarial papules and plaques of pregnancy. London, england the terminology of the specific dermatoses of pregnancy has become increasingly confusing, with several names in use for identical clinical disorders. Systemic means it affects the whole body, rather than just one part. The specific dermatoses of pregnancy represent a diverse group of intensely pruritic dermatoses, occurring only in the puerperal state.
This article is from annals of dermatology, volume 23. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. As ppp is a rare disease, its effects on maternalfetal. Although the dermatoses of pregnancy are believed to be a direct result of gestation or the products of conception, they are classified as pathologic processes 4. Treatment of the specific dermatoses of pregnancy depends on the stage and severity of the disease and aims to control pruritus and skin lesions. The main diseases under this heading include pruritic urticarial papules and plaques of pregnancy, pemphigoid gestationis. A large portion of the book is devoted to dermatoses of pregnancy. In addition, there are a number of skin eruptions unique to pregnancy. Common skin conditions during pregnancy marc tunzi, m. How do i view different file formats pdf, doc, ppt, mpeg on this site. Their only common feature is a tendency to appear during pregnancy. In all cases treatment with corticosteroids, both topically and systemically, and systemic antihistamines can be effective. Pregnancyassociated and other dermatoses of young women 1 kelly tyler, md, facog division of dermatology the ohio state university no disclosures i have no financial interest or other conflict of interest in relation to this program i have no relevant financial relationships to disclose 2 objectives recognize the most common.
Patients with pruritic urticarial papules and plaques of pregnancy puppp and toxemic rash of pregnancy bourne have plaques as well as papules. The aetiology of physiological skin changes in pregnancy is uncertain but is thought to be due to hormonal and physical changes of pregnancy. Data regarding specific dermatoses of pregnancy in our community are insufficient. Each dermatosis has its own specific characteristics, treatments, and risks. Increased redness of palms palmar erythema and vasomotor instability. Dermatoses of pregnancy free download as powerpoint presentation. Get a printable copy pdf file of the complete article 447k, or click on a page image below to browse page by page. Dermatoses of pregnancy clues to diagnosis, fetal risk and therapy christina m. This presentation highlights the pregnancy specif slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Dermatoses of pregnancy clues to diagnosis, fetal risk and therapy. A case of pustular psoriasis of pregnancy with positive. Skin conditions called dermatoses of pregnancy are a group of itchy or inflammatory skin disorders that can occur while a woman is pregnant. Methodsa hospitalbased observational study was conducted in the dermatology outpatient department. Dermatoses of pregnancy at a glance semantic scholar.
1144 1429 1392 80 1141 1449 1155 1033 272 31 414 1035 982 212 1106 369 1098 714 43 858 1291 898 184 306 154 83 457 627 536 1018 1292 1581 1456 1324 147 307 1234 227 216 1275 949 347 1 1242 220 1412