Pregnancy Related Skin Conditions

Question 1

A pregnant woman in her 3rd trimester comes with an itchy rash that started as abdominal striae on her abdomen and sparing the umbilicus with no associated blisters,
What is the diagnosis?
How to manage?

Answer 1

Diagnosis is Polymorphic Eruption of Pregnancy (PEP)
= Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP

Management: emollients, mild potency topical steroids and oral steroids

Question 2

Pt presents with pruritic blistering lesions developing in the peri-umbilical region and later spread to the trunk,
back, buttocks and arms.
She is pregnant and in her 2nd/3rd trimester.
What is the diagnosis?
How to manage?

Answer 2

Diagnosis: Pemphigoid gestationis
Management: oral steroids