Dermatoses of pregnancy

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Dermatoses of pregnancy
Other names: Skin conditions in pregnancy, skin diseases of pregnancy
Onset of skin diseases of pregnancy[1]
SpecialtyDermatology, obstetrics

Dermatoses of pregnancy are the inflammatory skin diseases that begin during pregnancy or shortly after childbirth.[2]

Atopic eruption of pregnancy is a group of inflammatory skin conditions in pregnancy, which includes prurigo of pregnancy, pruritic folliculitis of pregnancy, and eczema in pregnancy.[3][4] It covers those with flare-ups of pre-existing skin conditions and those presenting with skin signs for the first time in pregnancy.[1]

Specific to pregnancy

Condition Image Onset in pregnancy Signs and symptoms Treatment Frequency Outcome
Atopic eruption of pregnancy Eczema in pregnancy First half of pregnancy[5] Moisturizers, steroid creams, and antihistamines.[1] Common[5] Does not affect baby.[1] Often recurs[3]
Prurigo of pregnancy Worse in early pregnancy[6] Itchy skin.[6] Skin appears normal in 15%-20%[6] Steroid cream, antihistamines, benzoyl peroxide, UVB light[7][8][9] 1 in 300 pregnancies[3] Does not affect baby.[3] Resolves by three months after pregnancy; may reoccur.[9]
Pruritic folliculitis of pregnancy Mid-to late pregnancy[8] Small follicular pustules scattered widely over the trunk.[8] Resolves by 3 weeks after delivery.[8]
Intrahepatic cholestasis of pregnancy Late[10] Generalized itching resulting in scratch marks, erosions and scabs[10] Ursodeoxycholic acid[10] 0.3–5.6% of pregnancies[1] May harm baby.[10] Resolves 2 weeks after delivery.[3]
Polymorphic eruption of pregnancy Late pregnancy to shortly after birth[8]

Typically first pregnancy[11]

Itchy reddish to brownish bumps and patches starting in stretch marks of the abdomen.[6]

Spares umbilicus, face, palms, soles[11]

Moisturisers, steroid creams, antihistamines[1] Common[11]

1:120–1:300 pregnancies[1]

Does not affect baby.[6] Resolves after delivery and rarely recurs.[6]
Pemphigoid gestationis Mid pregnancy to shortly after birth[8] Blisters, itch, hives[8] Corticosteroids[8] 1 in 20,000 to 50,000 pregnancies.[8] May harm baby.[12] Lasts 6 months and may reoccur.[8]

Other

Skin conditions that may complicate pregnancy; though occur in other situations.[4][13]

Condition Image Onset in pregnancy Signs and symptoms Treatment Frequency Outcome
Pustular psoriasis of pregnancy[14] Late[10] Fever, generalised redness, pustules[10] May harm baby[10]
Acne in pregnancy
Linea nigra First 3 months[15] 1 cm (0.4 in) wide, brownish to blackish line, from the pubis to the belly button[16] None[16] >90%[16] Generally resolves within a year[17]

See also

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 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.
  2. 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.
  3. 3.0 3.1 3.2 3.3 3.4 Roth, MM (1 February 2011). "Pregnancy dermatoses: diagnosis, management, and controversies". American journal of clinical dermatology. 12 (1): 25–41. doi:10.2165/11532010-000000000-00000. PMID 21110524.
  4. 4.0 4.1 "Skin problems in pregnancy | DermNet". dermnetnz.org. Archived from the original on 26 September 2023. Retrieved 26 December 2023.
  5. 5.0 5.1 Sachdeva, S (2008). "The dermatoses of pregnancy". Indian journal of dermatology. 53 (3): 103–5. doi:10.4103/0019-5154.43203. PMID 19882004.
  6. 6.0 6.1 6.2 6.3 6.4 6.5 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.
  7. Horn TD (2003). Dermatology. Elsevier Health Sciences. pp. 454–. ISBN 978-0-323-02578-2. Archived from the original on 24 March 2022. Retrieved 9 May 2010.
  8. 8.0 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 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.
  9. 9.0 9.1 Ingber A, Lebwohl M (18 December 2008). Obstetric Dermatology: A Practical Guide. Springer. pp. 151–. ISBN 978-3-540-88398-2. Archived from the original on 24 March 2022. Retrieved 9 May 2010.
  10. 10.0 10.1 10.2 10.3 10.4 10.5 10.6 Kurien, George; Badri, Talel (2023). "Dermatoses of Pregnancy". StatPearls. StatPearls Publishing. Archived from the original on 2023-06-30. Retrieved 2023-05-16.
  11. 11.0 11.1 11.2 Bolognia, Jean L.; Schaffer, Julie V.; Duncan, Karynne O.; Ko, Christine (2021). "22. Pregnancy Dermatoses". Dermatology Essentials (2nd ed.). Elsevier. pp. 221–227. ISBN 978-0-323-62453-4. Archived from the original on 2024-06-20. Retrieved 2024-06-20.
  12. "Pemphigoid (herpes) gestationis". www.BAD.org.uk. British Association of Dermatologists. November 2020. Archived from the original on 2 February 2020. Retrieved 21 March 2022.
  13. Buckley, David (2021). "25. Skin diseases in pregnancy". In Buckley, David; Pasquali, Paola (eds.). Textbook of Primary Care Dermatology. Switzerland: Springer. pp. 191–200. ISBN 978-3-030-29100-6. Archived from the original on 2023-12-19. Retrieved 2023-12-17.
  14. Trivedi, Megha K; Vaughn, Alexandra R; Murase, Jenny E (26 February 2018). "Pustular psoriasis of pregnancy: current perspectives". International Journal of Women's Health. 10: 109–115. doi:10.2147/IJWH.S125784. ISSN 1179-1411. PMID 29520163. Archived from the original on 26 July 2022. Retrieved 17 December 2023.
  15. Perry, Shannon E.; Hockenberry, Marilyn J.; Lowdermilk, Deitra Leonard; Wilson, David; Alden, Kathryn Rhodes; Cashion, Kitty (9 September 2017). Maternal Child Nursing Care - E-Book. Elsevier Health Sciences. p. 162. ISBN 978-0-323-47921-9. Archived from the original on 14 January 2024. Retrieved 11 January 2024.
  16. 16.0 16.1 16.2 "Linea nigra". dermnetnz.org. DermNet. Archived from the original on 14 January 2024. Retrieved 11 January 2024.
  17. Bobonich, Margaret; Nolen, Mary; Honaker, Jeremy; DiRuggiero, Douglas (14 May 2021). Dermatology for Advanced Practice Clinicians: A Practical Approach to Diagnosis and Management. Lippincott Williams & Wilkins. p. PT1412. ISBN 978-1-9751-4837-9. Archived from the original on 14 January 2024. Retrieved 11 January 2024.

External links

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