DERM

Question 1

Describe PEP or PUPPP

Answer 1

Erythematous
pruritic
edematous papules
urticarial plaques
papulovesicular lesion

Question 2

Describe (Pemphiogoid Gestationis (PG)

Answer 2

Erythematous pruritic papules,
plaques
vesicles
bullae

Question 3

Describe AEP

Answer 3

2/3 Eczematous
lesions face, neck, extremity creases;

1/3 papular eruptions;
prurigo nodules

Question 4

Describe ICP

Answer 4

No rash
Excoriations from scratching

Question 5

Location of PEP or PUPPP

Answer 5

Initiates in abd, striae
trunk and limbs

Spares: umbilical area, face, palms, soles

Question 6

Location of Pemphigold Gestationis (PG)

Answer 6

Abdomen including periumbilical area
trunk
extremities
palms
soles

spares: face, scalp, MM

Question 7

Location of AEP

Answer 7

Face, neck, extremity, creases and trunk

Question 8

Location of ICP

Answer 8

None

Question 9

What trimester does PEP or PUPPP mostly occurs

Answer 9

3rd

Question 10

What trimester does Pemphigold Gestationis (PG) mostly occur

Answer 10

2nd and 3rd

Question 11

What trimester does AEP mostly occur

Answer 11

1st or 2nd

Question 12

What trimester does ICP mostly occur

Answer 12

2nd or 3rd

Question 13

Fetal effects for PEP or PUPP

Answer 13

None

Question 14

Fetal effects for Pemphigold Gestations (PG)

Answer 14

Preterm Birth
Fetal Growth restriction
Transient neonatal lesions

Question 15

Fetal effects for AEP

Answer 15

None

Question 16

Fetal effects for ICP

Answer 16

Meconium ileus
Preterm Birth
Still birth

Question 17

What might PEP/PUPPP be confused with

Answer 17

AEP
PG
ICP

Question 18

What might PG be confused with

Answer 18

PUPP
ICP

Question 19

What might AEP be confused with

Answer 19

Scabies
contact dermatitis
psoriasis
photosensitivity
immune deficiency disorders

Question 20

First line treatment for PEP/PUPPP

Answer 20

Oral Antihistamine:
2nd generation:
Loratadine
Ceftrizine
Fexdofenadine

Topical treatment:
Topical corticosteroids
Emollient creams
Antipruritic medication

Question 21

Treatment for PG

Answer 21

Mild:
High potency topical corticosteroid/emollients…
in preblistering stage

Oral antihistamine :
1st Trimester
First generation
Chlorphenaine
Diphenhydramine

   later trimester
       2nd generation 
            Loratadine

Oral corticosteroids:
Mainstay of treatment for most women
Oral prednisone 20-60 mg/day
once blisters starts