A case-control study of polymorphic eruption of pregnancy

Régnier, S.; Fermand, Virginie; Lévy, Pierre; Uzan, Serge; Aractingi, S.

doi:10.1016/j.jaad.2007.08.015

Cited by 43 publications

(14 citation statements)

References 16 publications

(30 reference statements)

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“…In the same study, higher rates of labor induction and subsequent cesarean section were noted in the PEP group, but PEP was not an independent risk factor for cesarean delivery in multivariate ana lysis. A higher rate of cesarean section was also reported in another study [124].…”

Section: Complicationssupporting

confidence: 78%

“…The characteristic localization of lesions to abdominal striae and associations with multiple gestation pregnancy [29,120], abnormal weight gains in the mother and fetus [121] and maternal obesity [122] made several authors postulate that the rapid abdominal wall distention in primigravidas during the latter part of pregnancy may damage the connective tissue within striae, and thus provoke an inflammatory reaction [120,121]. Nevertheless, the association with excessive maternal and fetal weight gains has been debated [123,124]. A meta-ana lysis by the author that revealed a tenfold higher prevalence of multiple gestation pregnancy in patients with PEP [29] and a retrospective study [120] lend support to this hypothesis.…”

Section: Diagnosis and Etiopathogenesismentioning

confidence: 99%

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Specific dermatoses of pregnancy: advances and controversies

Kroumpouzos¹

2010

Expert Review of Dermatology

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Specific dermatoses of pregnancy include herpes (pemphigoid) gestationis, polymorphic eruption of pregnancy (also known as pruritic urticarial papules and plaques of pregnancy), prurigo of pregnancy and pruritic folliculitis of pregnancy. This article focuses on what is currently known about the epidemiology, clinical characteristics, etiopathogenesis and management of these disorders. Moreover, it discusses the intrahepatic cholestasis of pregnancy and 'atopic eruption of pregnancy', which were recently reclassified as specific dermatoses of pregnancy, as well as debates related to the prevalence and diagnostic criteria of the latter. Finally, it addresses the suggested overlap between 'atopic eruption of pregnancy' and specific dermatoses of pregnancy, such as prurigo and pruritic folliculitis. Keywords: atopic dermatitis • cholestasis • herpes gestationis • polymorphic eruption of pregnancy • prurigo of pregnancy • pruritic folliculitis of pregnancy

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Section: Complicationssupporting

confidence: 78%

Section: Diagnosis and Etiopathogenesismentioning

confidence: 99%

Specific dermatoses of pregnancy: advances and controversies

Kroumpouzos¹

2010

Expert Review of Dermatology

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“…Other studies also show a higher occurrence of PUPPP in mothers with male foetuses. 9,13 This is due to the migration of fetal cells to maternal skin, leading to skin eruption because pregnancy is associated with peripheral blood chimerism, particularly during third trimester.…”

Section: Trimester Distributionmentioning

confidence: 99%

A study of pregnancy specific dermatoses and their effect on the outcome of pregnancy

2017

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Background: Pregnancy being a complex state, the interactions of multiple factors result in a number of cutaneous findings that can be separated into physiologic changes, pre-existing dermatoses that can be aggravated or improved during pregnancy and dermatoses that are specific to pregnancy. Dermatoses specific to pregnancy are important to recognise because they may be pruritic or painful to the mother and may pose significant risk to mother, her fetus or both. Early identification of the condition may go a long way in preventing morbidity and mortality.Methods: Antenatal women attending dermatology outpatient for dermatologic problems or referred from Obstetrics and Gynaecology, department for skin conditions in a tertiary care hospital in Kottayam, Kerala state were taken up for the study. Pregnancy related dermatoses or physiologic changes due to pregnancy if present were noted. The patients were followed up till delivery and the pregnancy outcome recorded. The results were analyzed using SPSS.Results: 94.3% of the patients had physiological changes, hyperpigmentation being the commonest. Specific pregnancy dermatoses were present in 38.3%. 94% of pregnancy dermatoses occurred during third trimester. The most common specific dermatoses observed was pruritic urticarial papules and plaques of pregnancy (PUPPP)-63.6%. It is more common in primi gravida (30/42), in twin pregnancies, in mothers of babies with more birth weight, male babies and those with gestational diabetes mellitus. None of the specific dermatoses produced adverse fetal outcome. Conclusions: Pregnancy dermatoses usually manifest in the third trimester. PUPPP is the commonest pregnancy dermatosis. PUPPP is more common among mothers with increased body weight, gestational diabetes, in twin pregnancy and in mothers with male babies. Most of the common pregnancy dermatoses have no adverse effect on the fetus.

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“…Occasionally vesicles, purpura, targetoid, eczematous, or polycyclic lesions are seen. A relationship to skin distension has been proposed due to the higher prevalence of PUPPP in multiple gestations and in women with increased weight gain during pregnancy, or the condition may represent a cutaneous response to the presence of circulating fetal cells that have invaded maternal skin [14,15].…”

Section: Sr Nomentioning

confidence: 99%

A study on dermatoses of pregnancy

Puri¹,

Puri²

2013

Our Dermatol Online

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Certain dermatoses are specifically seen in pregnancy or postpartum period. It is therefore important for the clinicians to recognize and treat these cutaneous disorders to minimize maternal and fetal morbidity. The commonest pregnancy related dermatoses was polymorphic eruption of pregnancy seen in 22% patients, prurigo of pregnancy was seen in 7% patients, pemphigoid gestationis was seen in 3% patients, pruritic folliculitis of pregnancy was seen in 2% patients and intrahepatic cholestasis was seen in 1% of patients. It was seen that the skin disorders were commonest in the third trimester (60%), followed by 31% patients in second trimester and 9% patients in first trimester.

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A case-control study of polymorphic eruption of pregnancy

Cited by 43 publications

References 16 publications

Specific dermatoses of pregnancy: advances and controversies

Specific dermatoses of pregnancy: advances and controversies

A study of pregnancy specific dermatoses and their effect on the outcome of pregnancy

A study on dermatoses of pregnancy

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