Can Fam Physician. 2013 Dec;59(12):1290-4.
Some of my pregnant patients complain about pruritus. Are there conditions in pregnancy that present with pruritus that might put the mother or fetus at risk?
Although most cases of pruritus can be attributed to itchy dry skin, there are conditions unique to pregnancy that involve pruritus as a leading symptom. These include pemphigoid gestationis, pruritic urticarial papules and plaques of pregnancy, intrahepatic cholestasis of pregnancy, and atopic eruption of pregnancy. These conditions are associated with severe pruritus and some might be associated with adverse fetal outcomes. Clinical history and physical examination are the most important diagnostic clues when evaluating pruritus in pregnancy.
我的一些孕妇患者抱怨瘙痒。妊娠期间是否有出现瘙痒的病症会对母亲或胎儿造成风险？
虽然大多数瘙痒症状可归因于干燥瘙痒的皮肤，但也有一些妊娠特有的病症会以瘙痒为主要症状。这些病症包括疱疹样脓疱病、妊娠瘙痒性荨麻疹性丘疹斑块、妊娠肝内胆汁淤积症和妊娠特应性皮炎。这些病症都伴有严重的瘙痒，一些还可能导致不良的胎儿结局。当评估妊娠瘙痒时，临床病史和体格检查是最重要的诊断线索。
