Cutaneous changes during pregnancy

Abstract

Objectives: This present study was to evaluate the various dermatological manifestation during pregnancy. Methods: A detailed history including chief complaints related to skin, onset in relation to duration of pregnancy, complete general physical & systemic examinations, associated skin / medical disorders were performed to all patients. Investigations-CBC, OGTT, TSH, VDRL, HIV, HBsAg, Anti-HCV, Urine routine examination, LFT, S. Bile Acids, KOH mount, Skin biopsy and DIF were done wherever required. Results: A total of 200 pregnant women were included in this study. The mean age of participants was 23.43±4.12 years. Majority of women 104(52%) were seen in third trimester. 62(31%) women were in second trimester. and 34(17%) were in the first trimester of pregnancy. Most of the women 136(68%) were multigravida and 64(32%) were primigravida. Areola/nipple180(90%) was the most common pigmentary changes. Pedal oedema 26(13%) was the most common type of vascular changes seen in third trimester pregnant women. Most common type of connective tissue changes was Striae gravidarum 113(56.5%). Conclusions: Cutaneous manifestations are very common during pregnancy. Areola/nipple (pigmentary changes), malar (type of chloasma), pedal oedema (vascular changes) and striae gravidarum (connective tissue changes) are common cutaneous changes are seen during pregnancy.

Clinico-epidemiological study of cutaneous changes in pregnancy at a tertiary care centre in Puducherry

“…4 Ali et al also showed a similar incidence of (1.5%) of patients having acrochordon. 24 This is more common in third trimester which is concordant with our study. Non-specific disorders were common in multigravida during third trimester which were concordant with Latha and Haritha study.…”