Since some of these diseases can be dangerous, it is important for both mother and baby health to consult dermatology and gynecology and take precautions when symptoms first occur.
Gestational pemphigoid (Gestational herpes)
It is seen at a rate of 1/50,000 in the 2nd and 3rd trimesters, in the early post-partum (immediate postpartum) period. It exacerbates during birth, spontaneously regresses post-partum. It can turn into a fluid-filled blistering disease, which we call bullous pemphigoid, and can be early and severe in the next pregnancy. Itchy, water-filled blisters appear. Face, mouth, hands and feet are intact. Some patients may experience exacerbation with menstruation and birth control pills.
PUPP:
In multiple pregnancy, it occurs in the third trimester. It rarely persists after birth. It may be familial, but it is not expected to recur. The cause is unknown, it is more common in those who gain a lot of weight. It occurs in the first pregnancy. Swelling and blisters are seen. It can be very itchy.
Intrahepatic cholestasis of pregnancy
It is reversible cholestasis that occurs in late pregnancy. Pathogenesis is not certain, hormonal, genetic, environmental factors, diet may be effective. Jaundice is seen in 20% of cases, family history in 50% of cases, multiple pregnancy, recurrence in the next pregnancy in 60-70%. It usually starts in the third trimester with moderate/severe itching. Weakness, anorexia, vomiting, jaundice, dark urine, light colored faeces are observed after 1-4 weeks in 1/5 cases. It regresses 2-4 weeks after birth.
atopic eruption of pregnancy
It is the most common skin disease in pregnancy. It usually develops in the first pregnancy and in the 1st and 2nd trimesters. In the next pregnancy, there is an exacerbation of menstrual periods. It can be localized throughout the body, including the face, hands, feet. 20% has a previous history of allergic eczema, it exacerbates during pregnancy. In 80% of the cases, there is a family or mother’s history of allergy. It is very itchy.
pregnancy prurigo
It is in the form of itchy, raised bumps in the 2nd trimester. There may be a history of allergic disease. There may be eczema-like lesions. It may take 3 months after birth.
urticaria in pregnancy
It is not frequent. It occurs mostly due to medication. It may develop due to rapid growth in the abdomen in the 2nd and 3rd trimesters. Treatment is easy if the trigger is found. Sedative antihistamines and loratadine are preferred to cetrizine in the treatment. In severe cases, short-term systemic steroids can be given.
pustular psoriasis of pregnancy (inflammatory psoriasis)
It begins in the third trimester. It starts from the folded areas, spreads, nails are involved, fever, weakness and low calcium are present. It regresses with delivery but may recur in subsequent pregnancies. It threatens the health of both mother and baby.
Drinking enough water during pregnancy and staying away from salt will help keep the skin healthy. In addition, not taking a very hot shower, moisturizing regularly after the bath and every day also helps to prevent the formation of cracks.
