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Pemphigoid gestationis with postpartum flare-up: a case report.
Asli Kucukunal1, Ilknur Altunay2, Damlanur Sakiz2
1Department of Dermatology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey. aslikucukunal@hotmail.com
The Journal of Reproductive Medicine
|February 27, 2014
Summary
Pemphigoid gestationis (PG), an autoimmune blistering disease, typically emerges in late pregnancy. This case highlights the need for a coordinated dermatologic and gynecologic approach to manage this condition and its risks.
Area of Science:
- Dermatology
- Obstetrics
- Immunology
Background:
- Pemphigoid gestationis (PG), also known as herpes gestationis, is a rare autoimmune blistering disease.
- It predominantly affects pregnant women, usually in the third trimester.
Observation:
- A case of PG is presented with diffuse blistering and pruritic urticarial plaques starting periumbilically.
- The clinical presentation caused significant maternal and fetal stress.
Findings:
- PG is associated with adverse pregnancy outcomes, including premature delivery and small-for-gestational-age infants.
- Corticosteroids are the primary treatment modality for PG.
Implications:
- A multidisciplinary approach involving dermatology and gynecology is recommended for optimal diagnosis and management.
- Early recognition and intervention can mitigate risks to both mother and fetus.
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