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Common Skin Conditions During Pregnancy.

Michael Erlandson1, Maggie C Wertz2, Emily Rosenfeld1

  • 1Swedish Family Medicine Residency, Englewood, Colorado.

American Family Physician
|February 15, 2023
PubMed
Summary
This summary is machine-generated.

Pregnancy involves three main skin condition types: hormonal, preexisting, and pregnancy-specific. Management requires careful consideration of safety, especially for conditions impacting fetal outcomes.

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Area of Science:

  • Obstetrics and Gynecology
  • Dermatology
  • Maternal-Fetal Medicine

Background:

  • Pregnancy commonly triggers skin changes, categorized into benign hormonal effects, exacerbations of existing conditions, and unique pregnancy-related disorders.
  • Understanding these categories is crucial for appropriate management and patient counseling during gestation.

Purpose of the Study:

  • To review and categorize common and significant skin conditions encountered during pregnancy.
  • To discuss the management strategies, safety considerations, and potential fetal implications of various dermatoses in pregnant individuals.

Main Methods:

  • Literature review and synthesis of current knowledge on pregnancy dermatoses.
  • Categorization of skin conditions based on etiology (hormonal, preexisting, pregnancy-specific).
  • Analysis of treatment options, focusing on safety profiles during pregnancy and postpartum.

Main Results:

  • Benign hormonal changes (hyperpigmentation, striae gravidarum, hair/nail/vascular alterations) are frequent and typically resolve postpartum.
  • Preeexisting conditions (acne, psoriasis, etc.) vary in severity; treatment requires careful risk-benefit assessment, with topical corticosteroids generally safe.
  • Pregnancy-specific conditions (atopic eruption, polymorphic eruption, pemphigoid gestationis, intrahepatic cholestasis, pustular psoriasis) require specific attention, with some necessitating fetal surveillance.

Conclusions:

  • Skin conditions in pregnancy are diverse, necessitating tailored management approaches.
  • Safety of treatments, particularly corticosteroids, is paramount, with high-potency use linked to potential adverse fetal outcomes.
  • Certain pregnancy-specific dermatoses pose risks to fetal well-being, mandating close monitoring and antenatal surveillance.