Prurigo, pruritic folliculitis, and atopic eruption of pregnancy: Facts and controversies

Roth, Maria Magdalena; Cristodor, Patricia; Kroumpouzos, George

doi:10.1016/j.clindermatol.2016.02.012

Cited by 20 publications

(17 citation statements)

References 43 publications

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“…Tanto la colestasis intrahepática (que representa un riesgo vital para la madre y el feto), como los exantemas virales, a menudo se presentan acompañados por otros signos y síntomas que inducen a sospechar su presencia (17,18).…”

Section: Discussionunclassified

Erupción polimorfa durante el puerperio inmediato

Picón-Jaimes

Orozco-Chinome

Mejía-Antolínez³

et al. 2019

MedUNAB

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Introducción. En el embarazo, las dermatosis afectan a menos del 20% de las gestantes y representan un grupo heterogéneo de afecciones cutáneas, con una forma variada de presentación y evolución. Objetivo. Presentar un caso de erupción polimorfa del embarazo, con aparición en el puerperio, describiendo a manera de revisión de la literatura los conocimientos que se tienen hasta la actualidad de dicha patología. Reporte de caso. Presentamos el caso de una paciente de 38 años, en puerperio de su primera gestación quien debutó con un cuadro clínico de erupción cutánea y prurito que inició en la zona abdominal y se extendió hacia los miembros inferiores. Las lesiones estaban constituidas por pápulas eritematosas que confluían hasta formar placas. Se diagnosticó con erupción polimorfa del embarazo y se dio manejo con antihistamínicos logrando la resolución de la patología. Discusión. La erupción polimórfica del embarazo es un trastorno inflamatorio benigno de la piel. Inicia con la aparición de pápulas pruriginosas que confluyen hasta formar placas eritematosas, que inician en el abdomen respetando la zona umbilical y parten generalmente de las estrías diseminándose a las extremidades. El tratamiento consiste en la utilización de emolientes y antihistamínicos para el control de las lesiones y el prurito. Conclusiones. Aunque se trata de una patología benigna y autolimitada, es importante llegar al diagnóstico correcto e iniciar un manejo médico adecuado ya que los síntomas como el prurito pueden generar lesiones por rascado que suelen sobre infectarse y comprometer el estado de salud de las pacientes.

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Section: Discussionunclassified

Erupción polimorfa durante el puerperio inmediato

Picón-Jaimes

Orozco-Chinome

Mejía-Antolínez³

et al. 2019

MedUNAB

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“…This last finding has raised the question whether pregnant women with new-onset disease may have true AD or transient eczematiform eruptions of unclear nosological classification that do not fully satisfy atopy criteria, resolve following delivery, and recur only in pregnancy. These include papular and prurigo-like rashes falling in the spectrum of the so-called atopic eruption of pregnancy (formerly known as prurigo gestationis, papular dermatitis of pregnancy, prurigo of pregnancy, and pruritic folliculitis of pregnancy) [19,[23][24][25].…”

Section: Atopic Dermatitismentioning

confidence: 99%

The Influence of Pregnancy on the Clinical Evolution and Prognosis of Pre-Existing Inflammatory and Autoimmune Skin Disorders and Their Management

Nasca

Giuffrida

Micali³

2020

Dermatology

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Background: Although the possible occurrence of typical dermatoses during pregnancy is well recognized, little is known about the influence of pregnancy on the clinical evolution and prognosis of different pre-existing chronic dermatological disorders. Summary: In this study a comprehensive search of the available literature and reviews has been undertaken in order to collect and analyze articles reporting pre-existing chronic skin disorders in pregnant women and report current knowledge on their particular clinical and therapeutic aspects.

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“…Nevertheless, several aspects of AEP have been challenged, including the use of serum IgE elevation as a diagnostic criterium, which Rudder et al acknowledge, and the presence of atopy in many PP women. 2 The largest prospective study on pregnancy dermatoses to date did not confirm an association of PP with atopy, 3 and an Indian study found a history of atopy in only 3 of 27 women with PP. 4 My group published recently a series of 20 PP cases that were not associated with atopic background (defined as personal or family history of atopy).…”

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confidence: 95%

Prurigo of pregnancy: An appropriate term for cases not associated with atopy

Kroumpouzos

2021

Obstet Med

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Rudder and colleagues have written an informative review on pruritus in pregnancy that includes a discussion about pregnancyspecific skin conditions such as atopic eruption of pregnancy (AEP). 1 AEP, an umbrella entity based on atopic background in women, comprises eczema in pregnancy, prurigo of pregnancy (PP), and pruritic folliculitis of pregnancy. Nevertheless, several aspects of AEP have been challenged, including the use of serum IgE elevation as a diagnostic criterium, which Rudder et al. acknowledge, and the presence of atopy in many PP women. 2 The largest prospective study on pregnancy dermatoses to date did not confirm an association of PP with atopy, 3 and an Indian study found a history of atopy in only 3 of 27 women with PP. 4 My group published recently a series of 20 PP cases that were not associated with atopic background (defined as personal or family history of atopy). 5 The eruption showed typical clinical PP features could persist until delivery, and did not recur postpartum. 5 It started in the late second to early third trimester (median gestational age: 27.5 weeks) while AEP has been reported before the third trimester in 75% of women. 1 Comorbidities unrelated to atopy, such as psychiatric disease (20%), were noted in the series. 5 Based on the above, the presence of atopic background has not been confirmed in a significant percentage of PP women. The PP group is likely heterogeneous and multiple etiopathogenetic pathways may be involved. 5 Most importantly, the AEP label to a PP case in a woman without an atopic history may lead to biased counseling about a woman's genetic predisposition that can give women the impression that they have a genetically determined skin disease. I suggest not labeling as AEP but keeping the term PP for those PP eruptions in women without atopic background.

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Prurigo, pruritic folliculitis, and atopic eruption of pregnancy: Facts and controversies

Cited by 20 publications

References 43 publications

Erupción polimorfa durante el puerperio inmediato

Erupción polimorfa durante el puerperio inmediato

The Influence of Pregnancy on the Clinical Evolution and Prognosis of Pre-Existing Inflammatory and Autoimmune Skin Disorders and Their Management

Prurigo of pregnancy: An appropriate term for cases not associated with atopy

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