Rashes of pregnancy - Revision history

Rossdonaldson1: /* Background */

2024-12-11T18:12:52Z

Background

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	==Background==		==Background==
			{{Skin anatomy background images}}
	*First rule out life-threatening causes of [[rash]] such as [[Stevens-Johnson syndrome and toxic epidermal necrolysis\|SJS or TEN]]		*First rule out life-threatening causes of [[rash]] such as [[Stevens-Johnson syndrome and toxic epidermal necrolysis\|SJS or TEN]]
	*Multiple pruritic rashes associated with [[Pregnancy (main)\|pregnancy]] including:		*Multiple pruritic rashes associated with [[Pregnancy (main)\|pregnancy]] including:

Rossdonaldson1: /* Differential Diagnosis */

2021-03-17T20:30:27Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
			[[File:Melasmablemish.jpg\|thumb\|Melasma: pigment changes to the face due to pregnancy.]]
			[[File:Linea nigra.jpg\|thumb\|Linea nigra in a woman at 22 weeks pregnant.]]
	===Atopic eruption of pregnancy===		===Atopic eruption of pregnancy===
	*Onset usually 1st/2nd trimester		*Onset usually 1st/2nd trimester

Rossdonaldson1: /* Pustular Psoriasis of Pregnancy */

2020-09-09T22:39:18Z

Pustular Psoriasis of Pregnancy

← Revisión anterior		Revisión del 22:39 9 sep 2020
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	===Pustular Psoriasis of Pregnancy===		===Pustular Psoriasis of Pregnancy===
			[[File:Psoriasis manum.jpg\|thumb\|Severe pustular psoriasis.]]
	*Onset: 3rd trimester		*Onset: 3rd trimester
	*[[Rash]]: painful pustules, usually start on thighs		*[[Rash]]: painful pustules, usually start on thighs

Rossdonaldson1: /* Pruritic urticarial papules and plaques of pregnancy (PUPPP) */

2020-09-09T22:23:43Z

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

← Revisión anterior		Revisión del 22:23 9 sep 2020
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	===Pruritic urticarial papules and plaques of pregnancy (PUPPP)===		===Pruritic urticarial papules and plaques of pregnancy (PUPPP)===
	[[File:PUPPP 2007-05-06 left.jpg\|thumb\|PUPPP on abdomen.]]		[[File:PUPPP 2007-05-06 front2.jpg\|thumb\|PUPPP on gravid abdomen.]]
			[[File:PUPPP 2007-05-06 left.jpg\|thumb\|PUPPP on gravid abdomen.]]
	*Most common pregnancy-specific dermatosis		*Most common pregnancy-specific dermatosis
	*Onset in last weeks of pregnancy		*Onset in last weeks of pregnancy

Rossdonaldson1: /* Pruritic urticarial papules and plaques of pregnancy (PUPPP) */

2020-09-09T22:22:37Z

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

← Revisión anterior		Revisión del 22:22 9 sep 2020
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	===Pruritic urticarial papules and plaques of pregnancy (PUPPP)===		===Pruritic urticarial papules and plaques of pregnancy (PUPPP)===
			[[File:PUPPP 2007-05-06 left.jpg\|thumb\|PUPPP on abdomen.]]
	*Most common pregnancy-specific dermatosis		*Most common pregnancy-specific dermatosis
	*Onset in last weeks of pregnancy		*Onset in last weeks of pregnancy

ClaireLewis at 20:17, 22 October 2019

2019-10-22T20:17:11Z

← Revisión anterior		Revisión del 20:17 22 oct 2019
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	**Hyperpigmented Linea Alba		**Hyperpigmented Linea Alba
	**Striae gravidarum (stretch marks)		**Striae gravidarum (stretch marks)

			{{Rash red flags}}

	==Differential Diagnosis==		==Differential Diagnosis==
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	**Pruritic folliculitis of pregnancy		**Pruritic folliculitis of pregnancy
	***Scattered follicle-based papules & pustules usually start on abdomen		***Scattered follicle-based papules & pustules usually start on abdomen
	*Treatment: ~~emolients~~ and topical corticosteroids		*Treatment: emollients and topical corticosteroids
	*No known risk to fetus		*No known risk to fetus

ClaireLewis: /* References */

2019-09-28T01:33:38Z

References

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	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:OBGYN]]		[[Category:OBGYN]]
			[[Category:Symptoms]]

ClaireLewis at 01:33, 28 September 2019

2019-09-28T01:33:20Z

← Revisión anterior		Revisión del 01:33 28 sep 2019
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	==Background==		==Background==
	*First rule out life-threatening causes such as [[Stevens-Johnson syndrome and toxic epidermal necrolysis\|SJS or TEN]]		*First rule out life-threatening causes of [[rash]] such as [[Stevens-Johnson syndrome and toxic epidermal necrolysis\|SJS or TEN]]
	*Multiple pruritic rashes associated with [[Pregnancy (main)\|pregnancy]] including:		*Multiple pruritic rashes associated with [[Pregnancy (main)\|pregnancy]] including:
	**Atopic eruption of pregnancy		**Atopic eruption of pregnancy
	**Intrahepatic cholestasis of pregnancy		**Intrahepatic [[cholestasis of pregnancy]]
	**Pemphigoid gestationis		**Pemphigoid gestationis
	**Pruritic urticarial papules and plaques of pregnancy (PUPPP)		**Pruritic urticarial papules and plaques of pregnancy (PUPPP)
	**Pustular psoriasis of pregnancy (previously Impetigo herpetiformis)		**Pustular [[psoriasis]] of pregnancy (previously Impetigo herpetiformis)
	*Non-pathologic skin changes in pregnancy:		*Non-pathologic skin changes in pregnancy:
	**Melasma (facial rash)		**Melasma (facial rash)
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	*No known risk to fetus		*No known risk to fetus

	===Intrahepatic cholestasis of pregnancy===		===Intrahepatic [[cholestasis of pregnancy]]===
	*Onset in 2nd/3rd trimesters		*Onset in 2nd/3rd trimesters
	*LFT abnormalities		*[[LFTs\|LFT]] abnormalities
	*Rash non-specific but often pruritis of hands/feet		*Rash non-specific but often pruritis of hands/feet
	*~~Pruritis~~ distinguishes it from [[HELLP syndrome]]		*[[Pruritus]] distinguishes it from [[HELLP syndrome]]
	*Treatment: consider starting [[ursodiol]] in consultation with OB/GYN		*Treatment: consider starting [[ursodiol]] in consultation with OB/GYN
	*Risk to fetus: prematurity, neonatal respiratory distress		*Risk to fetus: prematurity, neonatal respiratory distress
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	*Most common pregnancy-specific dermatosis		*Most common pregnancy-specific dermatosis
	*Onset in last weeks of pregnancy		*Onset in last weeks of pregnancy
	*Intense ~~pruritis~~, often associated with striae		*Intense pruritus, often associated with striae
	*Rash usually begins on abdomen		*Rash usually begins on abdomen
	*Treat with mid- to high-potency [[Topical steroids\|topical steroids]] (e.g. Betamethasone or Triamcinolone)		*Treat with mid- to high-potency [[Topical steroids\|topical steroids]] (e.g. Betamethasone or Triamcinolone)
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	*Autoimmune disorder		*Autoimmune disorder
	*Onset: 2nd/3rd trimester		*Onset: 2nd/3rd trimester
	*Rash: pruritic papules and vesicles with bullae, usually starts periumbilical		*[[Rash]]: pruritic papules and vesicles with bullae, usually starts periumbilical
	*Treatment: High-potenecy [[Topical steroids\|topical steroids]] +/- prednisone (0.5mg/kg/day) and oral antihistamines		*Treatment: High-potenecy [[Topical steroids\|topical steroids]] +/- prednisone (0.5mg/kg/day) and oral antihistamines
	*Risk: fetal prematurity		*Risk: fetal prematurity
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	===Pustular Psoriasis of Pregnancy===		===Pustular Psoriasis of Pregnancy===
	*Onset: 3rd trimester		*Onset: 3rd trimester
	*Rash: painful pustules, usually start on thighs		*[[Rash]]: painful pustules, usually start on thighs
	*Management: admit to OB/GYN for fetal monitoring		*Management: admit to OB/GYN for fetal monitoring
	*Risk: fetal morbidity		*Risk: fetal morbidity
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	*CBC		*CBC
	*Electrolytes		*Electrolytes
	*LFTs		*[[LFTs]]

	==Management==		==Management==
			*Based on suspected condition

	==Disposition==		==Disposition==

Jonwarren: Links

2018-09-17T06:49:22Z

Links

← Revisión anterior		Revisión del 06:49 17 sep 2018
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	*Rash non-specific but often pruritis of hands/feet		*Rash non-specific but often pruritis of hands/feet
	*Pruritis distinguishes it from [[HELLP syndrome]]		*Pruritis distinguishes it from [[HELLP syndrome]]
	*Treatment: consider starting ursodiol in consultation with OB/GYN		*Treatment: consider starting [[ursodiol]] in consultation with OB/GYN
	*Risk to fetus: prematurity, neonatal respiratory distress		*Risk to fetus: prematurity, neonatal respiratory distress

Rossdonaldson1: /* Differential Diagnosis */

2017-03-30T13:27:03Z

Differential Diagnosis

← Revisión anterior		Revisión del 13:27 30 mar 2017
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	*Treatment: emolients and topical corticosteroids		*Treatment: emolients and topical corticosteroids
	*No known risk to fetus		*No known risk to fetus

	===Intrahepatic cholestasis of pregnancy===		===Intrahepatic cholestasis of pregnancy===
	*Onset in 2nd/3rd trimesters		*Onset in 2nd/3rd trimesters
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	*Treatment: consider starting ursodiol in consultation with OB/GYN		*Treatment: consider starting ursodiol in consultation with OB/GYN
	*Risk to fetus: prematurity, neonatal respiratory distress		*Risk to fetus: prematurity, neonatal respiratory distress

	===Pruritic urticarial papules and plaques of pregnancy (PUPPP)===		===Pruritic urticarial papules and plaques of pregnancy (PUPPP)===
	*Most common pregnancy-specific dermatosis		*Most common pregnancy-specific dermatosis
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	*Only occurs in 1st pregnancy		*Only occurs in 1st pregnancy
	*Also called Polymorphic Eruption of Pregnancy (PEP)		*Also called Polymorphic Eruption of Pregnancy (PEP)

	===Pemphigoid gestationis===		===Pemphigoid gestationis===
	*Autoimmune disorder		*Autoimmune disorder
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	*Treatment: High-potenecy [[Topical steroids\|topical steroids]] +/- prednisone (0.5mg/kg/day) and oral antihistamines		*Treatment: High-potenecy [[Topical steroids\|topical steroids]] +/- prednisone (0.5mg/kg/day) and oral antihistamines
	*Risk: fetal prematurity		*Risk: fetal prematurity

	===Pustular Psoriasis of Pregnancy===		===Pustular Psoriasis of Pregnancy===
	*Onset: 3rd trimester		*Onset: 3rd trimester