Skin pathologies in pregnancy
-
Elena Sergeevna Snarskaya
,
Olga Yurievna Olisova
,
Alexander Davidovich Makatsariya
,
Viktoriya Bitsadze
Abstract
Progesterone is a hormone responsible for pregnancy maintenance and the amount of progesterone increases in a woman’s body during pregnancy, as well as the level of female sex hormones, estrogens are also upregulated. Due to these changes the cutaneous sensitivity to external stimuli (meteorological factors, bacteria, etc.) increases. In general, all skin changes during pregnancy can be divided into three groups: physiological changes (hormone-associated), nonspecific or dermatoses that existed before pregnancy or were triggered by it, and specific pregnancy-related dermatoses, which appear during pregnancy and resolve in the postpartum period. In this brief review, we describe the dermatoses commonly seen in pregnancy and present our own clinical examples. We hope the review will be of some practical help for dermatologists and obstetricians.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Ignatiev DV, Kochergin NG. Dermatological indices in evidence-based medicine. IX All-Russian Congress of Dermatovenerologists 2005;2:11–12.Search in Google Scholar
2. Kochergin NG. Features of skin pathology in pregnancy. RZHKVB 2002;1:33–6.Search in Google Scholar
3. Ambros-Rudolph CM, Mülleger RR, Vaughan-Jones SA, Kerl H, Black MM. The specific dermatoses of pregnancy revisited and reclassified: results of a retrospective two-center study on 505 pregnant patients. J Am Acad Dermatol 2006;54:395–404.10.1016/j.jaad.2005.12.012Search in Google Scholar PubMed
4. Spangler AS, Reddy W, Bardawil WA, Roby CC, Emerson K. Papular dermatitis of pregnancy. A new clinical entity? JAMA 1962;181:1302–4.10.1001/jama.1962.03050330007002Search in Google Scholar PubMed
5. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl (Stockh) 1980;92:44–7.10.2340/00015555924447Search in Google Scholar
6. Vaughan-Jones S, McKay M. Physiologic skin changes of pregnancy. In: Black M, Ambros-Rudolph C, Edwards L, Lynch P,editors. Obstetric and gynecologic dermatology. London: Mosby Ltd., 2002:17:13.Search in Google Scholar
7. Ambros-Rudolph CM, Glatz M, Trauner M, Kerl H, Müllegger RR. The importance of serum bile acid level analysis and treatment with ursodeoxycholic acid in intrahepatic cholestasis of pregnancy: a case series from central Europe. Arch Dermatol 2007;143:757–62.10.1001/archderm.143.6.757Search in Google Scholar PubMed
8. Nissimov J, Elchalal U. Scalp hair diameter increases during pregnancy. Clin Exp Dermatol 2003;28:525–30.10.1046/j.1365-2230.2003.01331.xSearch in Google Scholar PubMed
9. Kroumpouzos G, Cohen LM. Dermatoses of pregnancy. J Am Acad Dermatol 2003;45:1–19.10.1067/mjd.2001.114595Search in Google Scholar PubMed
10. Chang ALS, Agredano YZ, Kimball AB. Risk factors associated with striae gravidarum. J Am Acad Dermatol 2004;51:881–5.10.1016/j.jaad.2004.05.030Search in Google Scholar PubMed
11. Barankin B, Silver SG, Carruthers A. The skin in pregnancy. J Cutan Med Surg 2002;6:236–40.10.1177/120347540200600308Search in Google Scholar PubMed
12. Black MM. Pemphigoid gestationis. In: Black M, Ambros-Rudolph C, Edwards L, Lynch P, editors. Obstetric and Gynecologic Dermatology, 2nd ed. London: Mosby; 2002:32–8.Search in Google Scholar
13. Rudolph CM, Al-Fares S, Vaughan-Jones SA, Müllegger RR, Kerl H, Black MM. Polymorphic eruption of pregnancy: clinicopathology and potential trigger factors in 181 patients. Br J Dermatol 2006;154:54–60.10.1111/j.1365-2133.2005.06856.xSearch in Google Scholar PubMed
14. Glantz A, Marschall HU, Mattsson LA. Intrahepatic cholestasis of pregnancy: intercourse between bile acid levels and fetal complication rates. Hepatology 2004;40:467–74.10.1002/hep.20336Search in Google Scholar PubMed
15. Kang SH, Chua-Gocheco A, Bozzo P, Einarson A. Safety of antiviral medication for the treatment of herpes during pregnancy. Can Fam Physician 2011;57:427–8.Search in Google Scholar
©2019 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Frontmatter
- Mini Review
- Skin pathologies in pregnancy
- Research Articles – Obstetrics
- Behcet’s disease and pregnancy: obstetrical and neonatal outcomes in a population-based cohort of 12 million births
- Twin anemia-polycythemia sequence and routine monitoring practices amongst maternal-fetal medicine specialists in the United States: an initial investigation
- Gestational age-related changes in shear wave speed of the uterine cervix in normal pregnancy at 12–35 weeks’ gestation
- Effects of maternal obesity, excessive gestational weight gain and fetal macrosomia on the frequency of cesarean deliveries among migrant and non-migrant women – a prospective study
- An exploratory study into social and healthcare variables of maternal mortality: a case-control study
- Research Articles – Fetus
- Fetal abdominal cysts: antenatal course and postnatal outcomes
- Reference range of fetal myocardial area by three-dimensional ultrasonography and its applicability in fetuses of pre-gestational diabetic women
- Neurological development may be accelerated in growth-restricted fetuses: a 4D ultrasound study
- Characterization of fetal monocytes in preeclampsia and fetal growth restriction
- Computerized fetal cardiotocography analysis in early preterm fetal growth restriction – a quantitative comparison of two applications
- Research Articles – Newborn
- Identification of growth patterns of preterm and small-for-gestational age children from birth to 4 years – do they catch up?
- Association of maternal disease and medication use with the risk of congenital heart defects in offspring: a case-control study using logistic regression with a random-effects model
- Continuous infusion vs. intermittent flushing of peripheral cannulas in neonates using a needleless connector: a prospective cohort study
- Mesenchymal stromal cells and TGF-β1 in tracheal aspirate of premature infants: early predictors for bronchopulmonary dysplasia?
- Erythropoietin in perinatal hypoxic-ischemic encephalopathy: a systematic review and meta-analysis
