Fouda Usama M, Fouda Ragai M, Ammar Hussam M, Salem Mohamed, Darouti Mohamed El
Department of Obstetrics & Gynecology, Cairo University, Kasr Al Aini Street, Cairo, Egypt.
Cases J. 2009 Dec 16;2:9338. doi: 10.1186/1757-1626-2-9338.
A 38-year-old multiparous woman with post thyroidectomy hypoparathyroidism developed pruritic erythematous patches with multiple pustules on its margins on her thighs and groin accompanied by fever few days after delivery by caesarean section. Impetigo herpetiformis was diagnosed based on the typical clinicopathological findings. The patient was treated with intravenous fluids, calcium, Calcitrol and corticosteroids. The correction of hypocalcaemia was accompanied with rapid improvement of her skin disease and general condition. Our case is the fourth case of impetigo herpetiformis initially presented during puerperium and the first case of puerperal impetigo herpetiformis that is precipitated by secondary hypoparathyroidism. The awareness of the possible occurrence of impetigo herpetiformis during the puerperium allows early diagnosis, treatment and prevention of maternal complications.
一位38岁的经产妇，因甲状腺切除术后出现甲状旁腺功能减退，在剖宫产术后几天，其大腿和腹股沟处出现瘙痒性红斑斑块，边缘有多个脓疱，并伴有发热。根据典型的临床病理表现诊断为疱疹样脓疱病。患者接受了静脉输液、钙剂、骨化三醇和皮质类固醇治疗。低钙血症的纠正伴随着皮肤病和全身状况的迅速改善。我们的病例是第四例在产褥期最初出现的疱疹样脓疱病，也是第一例由继发性甲状旁腺功能减退引发的产褥期疱疹样脓疱病。认识到产褥期可能发生疱疹样脓疱病有助于早期诊断、治疗和预防产妇并发症。
