Overview

• Pemphigoid Gestationis ⇒
  • Rare pruritic autoimmune bullous disorder, typically presenting in late 2nd or 3rd trimester.
  • Sx → lesions begin on abdomen and then spread. Widespread clustered blisteres that spare the face.
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  • Mx → potent topical steroids or oral prednisolone.
• Polymporphic Eruption of Pregnancy (PEP) ⇒
  • AKA pruritic urticarial papules and plaques of pregnancy. Presents in 3rd trimester or immediately post-partum.
  • Sx → begins on lower abdomen, extends to thigh, buttocks, arms. Spares the umbilicus. Involves pregnancy striae.
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  • Mx → symptomatic treatment.
  • Consequences include preterm delivery and SGA births.
• Prurigo of Pregnancy ⇒
  • Affects 20% of normal pregnancies, sttarts in 3rd trimester and resolves after delivery.
  • Do LFTs to exclude obstetric cholestasis.
  • Sx → excoriated papules on extensor limbs, abdomen and shoulder.
  • Mx → symptomatic treatment + topic steroids and emollients.
• Pruritus Folliculitis ⇒
  • Prurituc follicular eruption with papules and pustules affecteing trunk. Starts in 2nd or 3rd trimester, resolves a week after delivery.
  • Sx → acne.
  • Mx → topical steroids.
• Atopic Eczema
  • Sx → causes commonest pregnancy rash.
  • Mx → emollients and bath additives.

Making Diagnosis

Clinical Features

Investigations

Management Plan

Complications →

Prognosis →