Vora Rita V, Gupta Rajat, Mehta Malay J, Chaudhari Arvind H, Pilani Abhishek P, Patel Nidhi
Department of Skin and VD, Pramukhswami Medical College and Shree Krishna Hospital, Gujarat, India.
J Family Med Prim Care. 2014 Oct-Dec;3(4):318-24. doi: 10.4103/2249-4863.148099.
Pregnancy is associated with complex of endocrinological, immunological, metabolic, and vascular changes that may influence the skin and other organs in various ways. Pregnancy is a period in which more than 90% women have significant and complex skin changes that may have great impact on the woman's life. The dermatoses of pregnancy represent a heterogeneous group of skin diseases related to pregnancy and/or the postpartum period. The dermatoses of pregnancy can be classified into the following three groups: Physiologic skin changes in pregnancy, pre-existing dermatoses affected by pregnancy, and specific dermatoses of 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. Correct diagnosis is essential for the treatment of these disorders. This article discusses the current knowledge of various skin changes during pregnancy and the evaluation of the patient with pregnancy dermatoses with special emphasis on clinical features, diagnostic tests, maternal and fetal prognosis, therapy, and management.
妊娠与一系列内分泌、免疫、代谢及血管变化相关，这些变化可能以多种方式影响皮肤及其他器官。妊娠期间，超过90%的女性会出现显著且复杂的皮肤变化，这可能对其生活产生重大影响。妊娠皮肤病是一组与妊娠和/或产后时期相关的异质性皮肤病。妊娠皮肤病可分为以下三组：妊娠生理性皮肤变化、妊娠影响的既往存在的皮肤病、妊娠特异性皮肤病。尽管这些皮肤疾病大多为良性且在产后会消退，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。正确诊断对于这些疾病的治疗至关重要。本文讨论了妊娠期间各种皮肤变化的现有知识以及对妊娠皮肤病患者的评估，特别强调了临床特征、诊断测试、母婴预后、治疗及管理。
