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Common skin conditions during pregnancy.
1Family Medicine Residency Program, Natividad Medical Center, Salinas, California 93912, USA. tunzim@co.monterey.ca.us
American Family Physician
|February 1, 2007
Summary
Pregnancy commonly causes skin changes, categorized as hormone-related, preexisting, or pregnancy-specific. Most conditions resolve postpartum, but some require specific treatments and monitoring during pregnancy.
Area of Science:
- Dermatology
- Obstetrics
- Women's Health
Background:
- Pregnancy triggers significant physiological changes, impacting the skin.
- Skin conditions during pregnancy are broadly classified into hormone-related, preexisting, and pregnancy-specific categories.
Purpose of the Study:
- To review common skin conditions encountered during pregnancy.
- To outline the classification, characteristics, and management of these dermatoses.
Main Methods:
- Literature review of common pregnancy-related skin conditions.
- Categorization based on etiology: hormonal, preexisting, or specific to pregnancy.
Main Results:
- Hormone-related changes include stretch marks, melasma, and vascular alterations.
- Preexisting conditions like eczema and psoriasis may fluctuate.
- Pregnancy-specific conditions include PUPPP, prurigo of pregnancy, and others, with PUPPP being most common.
Conclusions:
- Most pregnancy dermatoses are benign and resolve post-delivery with symptomatic care.
- Specific treatments exist for conditions like melasma and intrahepatic cholestasis of pregnancy.
- Antepartum surveillance is crucial for severe conditions such as impetigo herpetiformis and pemphigoid gestationis.
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