Recognizing, Diagnosing, and Managing Pregnancy Dermatoses

Obstet Gynecol. 2022 Oct 1;140(4):679-695. doi: 10.1097/AOG.0000000000004938. Epub 2022 Sep 7.

Abstract

Pregnancy dermatoses are inflammatory skin disorders that occur during pregnancy or immediately postpartum. This heterogenous group of disorders includes pemphigoid gestationis, polymorphic eruption of pregnancy, intrahepatic cholestasis of pregnancy, atopic eruption of pregnancy, and pustular psoriasis of pregnancy. In this article, we provide a comprehensive literature review of each condition focusing on nomenclature, epidemiology, pathogenesis, clinical presentation, diagnosis, differential diagnosis, maternal risk, fetal risk, and treatment. We aim to increase awareness and help clinicians recognize, diagnose, and manage these unique conditions.

Publication types

  • Review

MeSH terms

  • Cholestasis, Intrahepatic* / complications
  • Cholestasis, Intrahepatic* / diagnosis
  • Cholestasis, Intrahepatic* / therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Pemphigoid Gestationis* / diagnosis
  • Pemphigoid Gestationis* / therapy
  • Pregnancy
  • Pregnancy Complications* / drug therapy
  • Pregnancy Complications* / therapy
  • Pruritus / diagnosis
  • Pruritus / etiology
  • Pruritus / therapy
  • Skin Diseases* / diagnosis
  • Skin Diseases* / therapy