Obstetric Dermatology: A Practical Guide

Front Cover
Springer Science & Business Media, Feb 7, 2009 - Medical - 180 pages
There are many changes in the skin, hair, and nails during and after pregnancy. Patients are certainly aware that those changes are occurring, but few physicians and even fewer patients know how to predict the course of those changes. Pigmentary changes occur, but are they permanent? Can they be prevented or reversed? Hair may become thicker during pregnancy, only to fall out in the postpartum period. When will hair stop falling out? Will it grow back? What hormonal changes are occurring to produce these effects on the skin, hair, and nails? Will those hormonal changes affect other organs? Some cutaneous manifestations of pregnancy are common and recognized by most physicians. Abdominal striae, for example, are easily identified, but physicians have many questions about them. Why do they develop? Can they be prevented or treated? Other cutaneous manifestations of pregnancy are less common and recognized by few. For example, pruritic urticarial papules and plaques of pregnancy is a debilitating condition that is treatable once diagnosed. Even more important than the treatment, the knowledge imparted to a worried mother that her child will be fine and that the condition is se- limited is priceless; but the condition must first be recognized by the patient’s physician. All of these questions and conditions are addressed in this extraordinary book. Pigm- tary disorders are addressed in detail in Chap. 2.
 

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Contents

Endocrine and Immunologic Alterations During Pregnancy
2
Immunologic Changes
3
References
5
Hyperpigmentation and Melasma
7
Melasma
8
Pathogenesis of Pigmentation
13
Treatment
14
References
17
Pruritus Gravidarum and Intrahepatic Cholestasis of Pregnancy
96
Incidence
98
Laboratory Findings
100
Physiopathology
101
Diagnosis
102
Treatment
103
Prognosis
104
References
106

Hair and Nails
19
Telogen Effluvium
21
MalePattern Baldness and Hypotrichosis
22
References
23
Connective Tissue Physiologic Changes During Pregnancy
25
Molluscum Fibrosum Gravidarum
29
References
30
Physiologic Vascular Changes During Pregnancy
32
Palmar Erythema
35
Hemangiomas
36
Cutis Marmorata Purpura and Petechia
37
Carpal Tunnel Syndrome
38
Pregnancy Gingivitis Papillomatous Hypertrophy of the Gums Stomatitis Gravidarum Hypertrophic Gingivitis of Pregnancy Marginal Gingivitis
40
Granuloma Gravidarum
41
Unilateral Nevoid Telangiectasia
42
References
43
Physiologic Glandular Changes During Pregnancy
45
Apocrine Gland
46
Breast
47
References
48
Inflammatory Skin Conditions During Pregnancy
49
Psoriasis
50
Urticaria
53
Hereditary Angioedema
54
Erythema Nodosum
55
Contact Dermatitis
56
References
58
Autoimmune Conditions During Pregnancy
63
Systemic Sclerosis
66
DermatomyositisPolymyositis
68
References
72
Tumors in Pregnancy
76
Neurofibromatosis
78
Malignant Melanoma
79
Maternal Prognosis
80
Fetal Prognosis
82
Treatment
83
Miscellaneous
84
References
85
Metabolic Diseases in Pregnancy
91
Acrodermatitis Enteropathica
93
References
94
Definition
111
Incidence
112
Clinical Presentation
113
Differential Diagnosis
118
Relationship Between Herpes Gestationis and Bullous Pemphigoid
119
Laboratory Findings
120
Histopathology
121
Physiopathology
123
Treatment
125
Prognosis
126
References
128
Impetigo Herpetiformis
134
Incidence
136
Laboratory Findings
138
Physiopathology
139
Prognosis
140
References
141
Autoimmune Progesterone Dermatitis of Pregnancy
143
Clinical Presentation
144
Physiopathology
145
Prognosis
146
Linear IgM Dermatosis of Pregnancy
147
References
150
Prurigo of Pregnancy
151
Incidence
152
Laboratory Findings
153
Histopathology
154
Prognosis
155
Pruritic Folliculitis of Pregnancy
157
Clinical Presentation
158
Histopathology
159
Treatment
160
Pruritic Urticarial Papules and Plaques of Pregnancy
163
Incidence
164
Laboratory Findings
167
Histopathology
168
Diagnosis
170
Treatment
171
References
172
Index
177
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