Kumari Rashmi, Jaisankar T J, Thappa Devinder Mohan
Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry-605 006, India.
Indian J Dermatol Venereol Leprol. 2007 Mar-Apr;73(2):141. doi: 10.4103/0378-6323.31910.
During pregnancy profound immunologic, metabolic, endocrine and vascular changes occur, that are responsible for the changes of the skin and its appendages, both physiologic and pathologic.
We undertook a clinical study to find out the frequency and pattern of skin changes in pregnant women.
All consecutive pregnant women were included in the study.
A total of 607 pregnant women were included in this study. Of these, 303 (49.9%) pregnant women were primigravida and 304 (51.1%) were multigravida. Skin changes grouped into: physiological changes (all cases), specific dermatoses (22 cases) and other dermatoses affected by pregnancy (125 cases). Most common physiological changes were pigmentary alterations seen in 555 (91.4%) followed by striae seen in 484 (79.7%) cases. Of the various specific dermatoses of pregnancy, pruritic urticarial papules and plaques of pregnancy (PUPPP) was the most common disorder (14 cases) followed by pruritus gravidarum (5 cases). The most common dermatoses affected by pregnancy were candidal vaginitis (17 cases), acne vulgaris (15 cases), skin tags (15 cases), eczemas (14 cases).
This study brings into focus various skin changes during pregnancy in south India.
孕期会发生深刻的免疫、代谢、内分泌和血管变化，这些变化导致皮肤及其附属器出现生理和病理改变。
我们开展了一项临床研究，以查明孕妇皮肤变化的频率和模式。
所有连续就诊的孕妇均纳入本研究。
本研究共纳入607名孕妇。其中，初产妇303名（49.9%），经产妇304名（51.1%）。皮肤变化分为：生理变化（所有病例）、特定皮肤病（22例）和其他受孕期影响的皮肤病（125例）。最常见的生理变化是色素沉着改变，见于555例（91.4%），其次是萎缩纹，见于484例（79.7%）。在各种孕期特定皮肤病中，妊娠瘙痒性荨麻疹性丘疹和斑块（PUPPP）是最常见的疾病（14例），其次是妊娠瘙痒症（5例）。最常见的受孕期影响的皮肤病是念珠菌性阴道炎（17例）、寻常痤疮（15例）、皮赘（15例）、湿疹（14例）。
本研究聚焦于印度南部孕期的各种皮肤变化。
