Valdés Enrique, Núñez Tatiana, Pedraza Daniel, Muñoz Hernán
Departamento de Obstetricia y Ginecología, Hospital Clínico, Universidad de Chile.
Rev Med Chil. 2005 Sep;133(9):1070-4. doi: 10.4067/s0034-98872005000900011. Epub 2005 Nov 9.
Impetigo Herpetiformis is a high-risk gestational skin disease that represents a risk for both the mother and offspring. Its management is based on multisystemic support and maternal steroid therapy. When these measures are insufficient to control the disease, the association of ciclosporine to the treatment has been proposed. We report a 24 year-old woman with a 16 weeks pregnancy, that presented with Impetigo Herpetiformis. The disease was refractory to the use of steroids, the patient had a metabolic decompensation and a dehydration with electrolyte imbalance. Therefore, treatment with ciclosporine was initiated and a rapid regression of the lesions was observed. Gestation was maintained, with a good perinatal outcome.