CEReSS-EA 3279, Centre d'études et de recherches sur les services de santé et la qualité de vie, Aix Marseille Université, service de dermatologie, CHU de la Timone, APHM, 13385, Marseille, France.
Eur J Dermatol. 2020 Oct 1;30(S1):3-7. doi: 10.1684/ejd.2020.3885.
During pregnancy there is spontaneous improvement in various inflammatory diseases, including psoriasis for the majority of women. Hormonal changes during pregnancy may play a role in improving psoriasis by promoting a state of transient immune tolerance, promoting a TH2-type response, and lowering the inflammatory cascades of psoriasis. It is more the ratio of estrogens to progesterone than the respective relative levels of the circulating hormones themselves that may improve psoriasis. There is a risk of psoriasis flare in the first few months postpartum. Breastfeeding seems to have less influence on the natural history of skin lesions.
在怀孕期间,各种炎症性疾病(包括大多数女性的银屑病)会自发改善。怀孕期间的激素变化可能通过促进暂时的免疫耐受、促进 TH2 型反应和降低银屑病的炎症级联反应来改善银屑病。改善银屑病的可能是雌激素与孕激素的比值,而不是循环激素本身的相对水平。产后头几个月有银屑病发作的风险。母乳喂养似乎对皮肤病变的自然病程影响较小。