Kar Sumit, Krishnan Ajay, Shivkumar Poonam Varma
Department of Dermatology, Venereology & Leprosy, Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sevagram, Wardha, Maharashtra 442012 India.
J Obstet Gynaecol India. 2012 Jun;62(3):268-75. doi: 10.1007/s13224-012-0179-z. Epub 2012 Aug 28.
Skin changes occur in about 90 % pregnant women in one form or the other. The various skin changes maybe either physiological (hormonal), changes in pre-existing skin diseases or development of new pregnancy-specific dermatoses. All of these dermatoses can be attributed to the profound hormonal, vascular, metabolic, and immunological changes occurring during pregnancy.
Pregnancy-specific dermatoses have now been classified into dermatoses which are definitively associated and dermatoses with uncertain association with pregnancy. Though most of these skin dermatoses are benign and resolve in postpartum period, a few can risk fetal life and require antenatal surveillance. Most of the dermatoses of pregnancy can be treated conservatively but a few require intervention in the form of termination of pregnancy.
Careful history taking and examination will help us to identify each condition clinically and appropriate management can be instituted for the well-being of the mother and the fetus.
约90%的孕妇会出现某种形式的皮肤变化。各种皮肤变化可能是生理性的（激素性的）、原有皮肤病的变化或新出现的妊娠特异性皮肤病。所有这些皮肤病都可归因于孕期发生的深刻的激素、血管、代谢和免疫变化。
妊娠特异性皮肤病现已分为与妊娠明确相关的皮肤病和与妊娠关联不确定的皮肤病。尽管这些皮肤疾病大多为良性且产后会消退，但少数可能危及胎儿生命，需要进行产前监测。大多数妊娠皮肤病可采用保守治疗，但少数需要以终止妊娠的方式进行干预。
仔细的病史采集和检查将有助于我们在临床上识别每种情况，并可为母亲和胎儿的健康制定适当的管理措施。
