Dermatoses of pregnancy

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Dermatoses of pregnancy
Specialty Dermatology, obstetrics

Dermatoses of pregnancy are the inflammatory skin diseases that are specific to women while they are pregnant. [1] While some use the term 'polymorphic eruption of pregnancy' to cover these, [2] this term is a synonym used in the UK for Pruritic urticarial papules and plaques of pregnancy, [3] which is the commonest of these skin conditions. [1]

Contents

Skin diseases seen during pregnancy include: [1] [4] [5] [6]

Frequency [7] Onset in pregnancy [7] Condition
49.7%Early Eczema in pregnancy
21.6%Late Pruritic urticarial papules and plaques of pregnancy
4.25%
Saudi Arabia [8]
Late [8] Impetigo herpetiformis
4.2%Late Gestational pemphigoid also termed pemphigoid gestationis, and previously called herpes gestationis
3%Late Intrahepatic cholestasis of pregnancy may also be included in this list. [1]
0.8%Early Prurigo gestationis
0.2%Early Pruritic folliculitis of pregnancy
 LateSpangler's Papular dermatitis of pregnancy
   Linear IgM dermatosis of pregnancy

See also

Related Research Articles

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<span class="mw-page-title-main">Pruritic urticarial papules and plaques of pregnancy</span> Chronic rash that occurs during pregnancy

Pruritic urticarial papules and plaques of pregnancy (PUPPP), known in United Kingdom as polymorphic eruption of pregnancy (PEP), is a chronic hives-like rash that strikes some women during pregnancy. Some skin changes are known to occur in people who are pregnant while other skin conditions, or dermatoses, that people have prior to getting pregnant will become altered or symptoms will increase. Pruritic urticarial papules and plaques of pregnancy (PUPPP) is one of many skin conditions that is specific to pregnancy and occurs in about 1 in every 160 (0.625%) of pregnancies.

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Acneiform eruptions are a group of dermatoses including acne vulgaris, rosacea, folliculitis, and perioral dermatitis. Restated, acneiform eruptions are follicular eruptions characterized by papules and pustules resembling acne. The hybrid term acneiform, literally, refers to an appearance similar to acne.

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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.

Pruritic folliculitis of pregnancy is a skin condition that occurs in one in 3000 people, about 0.2% of cases, who are in their second to third trimester of pregnancy where the hair follicle becomes inflamed or infected, resulting in a pus filled bump. Some dermatologic conditions aside from pruritic folliculitis during pregnancy include "pruritic urticarial papules and plaques of pregnancy, atopic eruption of pregnancy, pemphigoid gestationis, intrahepatic cholestasis of pregnancy, and pustular psoriasis of pregnancy". This pruritic folliculitis of pregnancy differs from typical pruritic folliculitis; in pregnancy, it is characterized by sterile hair follicles becoming inflamed mainly involving the trunk, contrasting how typical pruritic folliculitis is mainly localized on "the upper back, shoulders, and chest." This condition was first observed after some pregnant individuals showed signs of folliculitis that were different than seen before. The inflammation was thought to be caused by hormonal imbalance, infection from bacteria, fungi, viruses or even an ingrown hair. However, there is no known definitive cause as of yet. These bumps usually begin on the belly and then spread to upper regions of the body as well as the thighs. This condition does not harm the fetus or the mother and usually resolves after delivery of the baby. The rate of incidence could possibly be higher but due to the unknown etiology of the condition, misdiagnosis, and varying levels of severity, it is difficult to differentiate. Pruritic folliculitis of pregnancy is currently classified as atopic eruption of pregnancy (AEP) in a retrospective study done in 2006 that compared this condition to eczema and prurigo of pregnancy, which occurred in 49.7% and 0.8% of cases respectively, with eczema clearly being more frequent. Unlike typical pruritic folliculitis which does not resolve on its own, pruritic folliculitis of pregnancy clears spontaneously on delivery or in postpartum period. Fortunately, pruritic folliculitis of pregnancy has no mortality effects or significant adverse effects on the mother or on the fetus.

Large plaque parapsoriasis are skin lesions that may be included in the modern scheme of cutaneous conditions described as parapsoriasis. These lesions, called plaques, may be irregularly round-shaped to oval and are 10 cm (4 in) or larger in diameter. They can be very thin plaques that are asymptomatic or mildly pruritic. Large-plaque parapsoriasis is a common associate of retiform parapsoriasis, can be accompanied by poikiloderma vasculare atrophicans, and can in rare occasions be a precursor to cutaneous T-cell lymphoma.

<span class="mw-page-title-main">Porokeratosis</span> Medical condition

Porokeratosis is a specific disorder of keratinization that is characterized histologically by the presence of a cornoid lamella, a thin column of closely stacked, parakeratotic cells extending through the stratum corneum with a thin or absent granular layer.

<span class="mw-page-title-main">Poikiloderma vasculare atrophicans</span> Medical condition

Poikiloderma vasculare atrophicans (PVA), is a cutaneous condition characterized by hypo- or hyperpigmentation, telangiectasia and skin atrophy. Other names for the condition include prereticulotic poikiloderma and atrophic parapsoriasis. The condition was first described by pioneer American pediatrician Abraham Jacobi in 1906. PVA causes areas of affected skin to appear speckled red and inflamed, yellowish and/or brown, gray or grayish-black, with scaling and a thinness that may be described as "cigarette paper". On the surface of the skin, these areas may range in size from small patches, to plaques, to neoplasms.

<span class="mw-page-title-main">Carl Rasch (physician)</span>

Carl Emanuel Flemming Rasch was a Danish dermatologist and venereologist who in 1900 coined the term "polymorphic light eruption", following his studies of the effect of sunlight on the skin.

References

  1. 1 2 3 4 Tunzi M, Gray GR (January 2007). "Common skin conditions during pregnancy". Am Fam Physician. 75 (2): 211–8. PMID   17263216.
  2. James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 470-471. ISBN   0-7216-2921-0.
  3. Matz H, Orion E, Wolf R (Mar–Apr 2006). "Pruritic urticarial papules and plaques of pregnancy: polymorphic eruption of pregnancy (PUPPP)". Clin Dermatol. 24 (2): 105–8. doi:10.1016/j.clindermatol.2005.10.010. PMID   16487883.
  4. Holmes RC, Black MM (March 1983). "The specific dermatoses of pregnancy". J. Am. Acad. Dermatol. 8 (3): 405–12. doi:10.1016/S0190-9622(83)70046-0. PMID   6833540.
  5. Callen JP (June 1984). "Pregnancy's effects on the skin. Common and uncommon changes". Postgrad Med. 75 (8): 138–45. PMID   6728733.
  6. Sodhi VK, Sausker WF (January 1988). "Dermatoses of pregnancy". Am Fam Physician. 37 (1): 131–8. PMID   3276095.
  7. 1 2 Ambros-Rudolph CM, Müllegger RR, Vaughan-Jones SA, Kerl H, Black MM (March 2006). "The specific dermatoses of pregnancy revisited and reclassified: results of a retrospective two-center study on 505 pregnant patients". J. Am. Acad. Dermatol. 54 (3): 395–404. doi:10.1016/j.jaad.2005.12.012. PMID   16488288.
  8. 1 2 Yap FBB (4 June 2008). "Impetigo herpetiformis: A case report and review of literature". Egyptian Dermatology Online Journal. 1 (4). ISSN   1687-3831 . Retrieved 2009-07-09.