Recognizing Presentations of Pemphigoid Gestationis: A Case Study
Author
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Pemphigoid gestationis (PG) is an autoimmune blistering disease that occurs in approximately 1 in 50,000 pregnancies.
Failing to recognize PG may lead to inadequate maternal treatment and possible neonatal complications.
Case Report.
At 18 weeks of gestation, a 36-year-old otherwise healthy Caucasian G4P1 presented with pruritic papules on her anterior thighs, initially treated with topical steroids.
At 31 weeks of gestation, she was switched to oral steroids after her rash and pruritus worsened.
The patient had an uncomplicated SVD of a healthy female infant at 37 weeks of gestation and was immediately tapered off steroid treatment, resulting in a severe postpartum flare of her disease.
Discussion.
This case was similar to reported cases of pruritic urticarial papules followed by blisters; however, this patient had palm, sole, and mucous membrane involvement, which is rare.
Biopsy for direct immunofluorescence or ELISA is the preferred test for diagnosis.
Previous case reports describe severe postdelivery flares that require higher steroid doses.
Obstetrical providers need to be familiar with this disease although it is rare, as this condition can be easily confused with other dermatoses of pregnancy.
Adequate treatment is imperative for the physical and psychological well-being of the mother and infant.
American Psychological Association (APA)
Henry, Sadie. 2014. Recognizing Presentations of Pemphigoid Gestationis: A Case Study. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1017333
Modern Language Association (MLA)
Henry, Sadie. Recognizing Presentations of Pemphigoid Gestationis: A Case Study. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1017333
American Medical Association (AMA)
Henry, Sadie. Recognizing Presentations of Pemphigoid Gestationis: A Case Study. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1017333
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017333