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Related Concept Videos

Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
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The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
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Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
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The proliferative phase typically occurs after menstruation and lasts between 6 to 13 days in a standard 28-day cycle. This phase involves the reconstruction of the endometrium, guided by estrogen produced by the developing ovarian follicle.
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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Related Experiment Video

Updated: Apr 24, 2026

Technique of Conjunctival Biopsy and Direct Immunofluorescence for Diagnosing Mucous Membrane Pemphigoid
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Technique of Conjunctival Biopsy and Direct Immunofluorescence for Diagnosing Mucous Membrane Pemphigoid

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Gestational pemphigoid.

Laura Huilaja1, Kaarin Mäkikallio, Kaisa Tasanen

  • 1Department of Dermatology, Medical Research Center, University of Oulu, Oulu University Hospital, Oulu, Finland. laura.huilaja@oulu.fi.

Orphanet Journal of Rare Diseases
|September 3, 2014
PubMed
Summary

Gestational pemphigoid (PG) is a rare pregnancy-related autoimmune skin disease. Prompt diagnosis and management, involving dermatologists and obstetricians, are crucial for maternal and fetal health.

Area of Science:

  • Dermatology
  • Immunology
  • Obstetrics

Background:

  • Gestational pemphigoid (PG) is a rare autoimmune blistering skin disease unique to pregnancy.
  • It is characterized by autoantibodies targeting placental BP180 (collagen XVII), leading to skin basement membrane damage.

Purpose of the Study:

  • To summarize the key aspects of gestational pemphigoid, including its pathogenesis, diagnosis, management, and implications for pregnancy.
  • To highlight the importance of multidisciplinary care and patient education.

Main Methods:

  • Diagnosis confirmed by immunofluorescence analysis of skin biopsy.
  • Serum levels of pemphigoid antigen BP180 antibody used to monitor disease activity.

Main Results:

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  • Mild PG treated with topical corticosteroids; severe cases managed with oral corticosteroids.
  • PG often exacerbates around delivery but typically resolves postpartum.
  • Subsequent pregnancies carry a risk of relapse.
  • Conclusions:

    • Gestational pemphigoid necessitates collaborative management between dermatologists and obstetricians due to associated risks like prematurity and fetal growth restriction.
    • Patients require counseling regarding disease recurrence in future pregnancies and with hormonal contraception.