Skin Lesions in Pregnancy Flashcards
1
Q
What is this?
A
Polymorphic eruption of pregnancy
2
Q
What is this?
A
Polymorphic eruption of pregnancy
3
Q
What is this?
A
Pemphigoid gestationis
4
Q
Tell me about pemphigoid gestationis.
A
- Pruritic blistering lesions
- Often develop in peri-umbilical region, later spreading to the trunk, back, buttocks and arms
- Usually presents 2nd or 3rd trimester and is rarely seen in the first pregnancy
- Oral corticosteroids are usually required
- Risks to foetus: IUGR/ SFGA, Pre-term labour, 10% newborns may develop mild skin lesions
5
Q
What is this?
A
Pemphigoid gestationis
6
Q
Tell me about atopic eruption in pregnancy.
A
- Commonest dermatosis of pregnancy
- Presents before the 3rd trimester
- 20% - flare of existing eczema, 80% new onset
- Clinically can be separated into 2 major types and a rarer entity:
- E-type: Generalised eczematous changes usually on face and neck
- P-type: Papular lesions on trunk and limbs or prurigo nodules on shins and arms
- Rare- Pruritic folliculitis: papules and pustules on shoulders, upper back, chest, arms and abdomen, tends to occur later than other types (2nd and 3rd trimester)
- AEP usually resolves 2-3 months after delivery, recurrence common
- No harmful effects on foetus, may be higher incidence of childhood eczema
7
Q
What is this?
A
Polymorphic eruption of pregnancy
8
Q
What is this?
A
Atopic eruption in pregnancy
9
Q
Tell me about polymorphic eruption of pregnancy
A
- Pruritic condition associated with last trimester
- Lesions often first appear in abdominal striae
-
Management depends on severity:
- Emollients
- Mild potency topical steroids
- Oral steroids may be used
- No harmful effects to the fetus.
10
Q
How do you treat atopic eruption in pregnancy?
A
- Emollients +/- antipruritic additives
- Mild to moderate potency topical corticosteroids
- Systemic antihistamines
- In severe cases:
- Systemic corticosteroids
- Phototherapy (UV B light)
- Systemic corticosteroids
