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[Impetigo herpetiformis (two cases)].

A Masmoudi1, W Abdelmaksoud, S Ghorbel

  • 1Service de dermatologie et de vénéréologie, CHU Hedi-Chaker, 3029 Sfax, Tunisie. masmoudiabd@yahoo.fr

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|July 29, 2008
PubMed
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Impetigo herpetiformis, a rare pregnancy-specific skin condition, can endanger mothers and infants. Early gynecological monitoring and treatments like UVB therapy are crucial for managing this pustular psoriasis.

Area of Science:

  • Dermatology
  • Obstetrics
  • Gynecology

Background:

  • Impetigo herpetiformis is a rare pustular dermatosis specific to pregnancy.
  • It poses significant risks to both maternal and fetal well-being.
  • This condition is increasingly recognized as a form of pustular psoriasis.

Observation:

  • Two cases of impetigo herpetiformis in young women (24 and 21 years old) are presented.
  • Both patients exhibited extensive erythematous, pustular plaques.
  • The first patient experienced recurrent lesions and fetal complications (oligohydramnios, hypotrophy) in her second pregnancy.

Findings:

  • The second patient had pregnancy complications including premature membrane rupture, stillbirth, and worsening skin lesions.
  • Treatment varied: oral steroids followed by acitretin for the first patient, and topical steroids with UVB therapy, then acitretin for the second.

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  • Acitretin proved effective in the second patient.

    • Implications:

    • Regular gynecological monitoring is vital to prevent potentially fatal complications associated with impetigo herpetiformis.
    • Topical steroids combined with UVB therapy represent a viable alternative treatment during pregnancy.
    • Prompt diagnosis and management are essential for improved maternal and fetal outcomes.