DERM Flashcards
Describe PEP or PUPPP
Erythematous
pruritic
edematous papules
urticarial plaques
papulovesicular lesion
Describe (Pemphiogoid Gestationis (PG)
Erythematous pruritic papules,
plaques
vesicles
bullae
Describe AEP
2/3 Eczematous
lesions face, neck, extremity creases;
1/3 papular eruptions;
prurigo nodules
Describe ICP
No rash
Excoriations from scratching
Location of PEP or PUPPP
Initiates in abd, striae
trunk and limbs
Spares: umbilical area, face, palms, soles
Location of Pemphigold Gestationis (PG)
Abdomen including periumbilical area
trunk
extremities
palms
soles
spares: face, scalp, MM
Location of AEP
Face, neck, extremity, creases and trunk
Location of ICP
None
What trimester does PEP or PUPPP mostly occurs
3rd
What trimester does Pemphigold Gestationis (PG) mostly occur
2nd and 3rd
What trimester does AEP mostly occur
1st or 2nd
What trimester does ICP mostly occur
2nd or 3rd
Fetal effects for PEP or PUPP
None
Fetal effects for Pemphigold Gestations (PG)
Preterm Birth
Fetal Growth restriction
Transient neonatal lesions
Fetal effects for AEP
None
Fetal effects for ICP
Meconium ileus
Preterm Birth
Still birth
What might PEP/PUPPP be confused with
AEP
PG
ICP
What might PG be confused with
PUPP
ICP
What might AEP be confused with
Scabies
contact dermatitis
psoriasis
photosensitivity
immune deficiency disorders
First line treatment for PEP/PUPPP
Oral Antihistamine:
2nd generation:
Loratadine
Ceftrizine
Fexdofenadine
Topical treatment:
Topical corticosteroids
Emollient creams
Antipruritic medication
Treatment for PG
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
