International Journal of Research in Dermatology | March-April 2020 | Vol 6 | Issue 2 Page 132
International Journal of Research in Dermatology
Choudhary A et al. Int J Res Dermatol. 2020 Mar;6(2):132-137
http://www.ijord.com
Original Research Article
Clinical evaluation of pathological dermatoses induced in pregnancy
Anshul Choudhary, Kshitij Saxena*, Venket Rao Koti, Amir Shahid Ansari,
Shivani Yadav, Titiksha Hans
INTRODUCTION
Pregnancyis characterized by endocrinal, metabolic and
immunologic alterations which make the woman
vulnerable to specific dermatoses, or a change in the
course of coexisting skin diseases.
1
Specific dermatoses,
Itching, skin infections, autoimmune skin diseases, skin
tumors and inflammatory skin disorders may occur in
pregnancy. Specific dermatoses of pregnancy are
polymorphic eruption of pregnancy (PEP), pemphigoid
gestationosis (PG), atopic eruption of pregnancy (AEP)
and intrahepatic cholestasis of pregnancy (IHCP). These
dermatoses are marked by severe pruritus and skin
eruptions. IHCP is a reversible form of hormonally
triggered cholestasis that typically develops in genetically
predisposed individuals in late pregnancy. Reduced cell‐
mediated immunity during normal pregnancy probably
accounts for the increased frequency and severity of
certain infections such as candidiasis, herpes simplex and
varicella zoster. Candida infection, genital warts and
herpes simplex virus (HSV) can all be transmitted to the
baby during childbirth. Pruritus gravidarum (itching in
pregnancy) occurs in up to one‐fifth of all pregnancies.
2
The objectives of the study to identify and classify
dermatoses occurring during pregnancy and to determine
the prevalence of various dermatoses of pregnancy.
Dermatoses during pregnancy can increase morbidity and
mortality in the mother and the newborn. A knowledge of
the profile of dermatoses during pregnancy is essential to
plan preventive measures, care of the mother and the
ABSTRACT
Background: Pregnancy can present with various dermatoses which is divided into physiological and pathological
dermatoses. These dermatoses have various effects on pregnancy and patient’s life. The objective was to study the
various pathological dermatoses.
Methods: A total of 1425 pregnant females attending dermatology, obstetrics and gynaecology Out Patient
Department of Era’s Lucknow Medical College and Hospital were included, out of this 275 presented with
pathological dermatoses. Detailed history, examination and investigations were done. Data was analysed using
Statistical Package for Social Sciences version 21.0 (test).
Results: Pathological dermatoses was seen in 275 pregnant females ranged between 18 to 45 years. Infections or
infestations and STDs (53.5%) were the most common dermatological conditions followed by pregnancy specific
dermatoses (24.7%), acne and folliculitis (7.6%), non-specific itching (5.8%) and other conditions (10.9%).
Conclusions: Pregnant females suffer from number of pregnancy dermatoses. A knowledge of the profile of
dermatoses during pregnancy is essential to plan preventive measures, care of the mother and the child.
Keywords: Pregnancy, Pregnancy specific dermatoses, Infections, Pruritus
Department of Dermatology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
Received: 12 January 2020
Revised: 28 January 2020
Accepted: 29 January 2020
*Correspondence:
Dr. Kshitij Saxena,
E-mail: drkshitijsaxena@live.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20200506