Irshad Shahmeen, Haider Muhammad S, Master Madiha F, Asif Nasir, Khalil Ambreen
Internal Medicine, Richmond University Medical Center, New York, USA.
Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Cureus. 2021 Nov 2;13(11):e19217. doi: 10.7759/cureus.19217. eCollection 2021 Nov.
The condition autoimmune progesterone dermatitis (APD) is an immune disorder, observed among women, primarily due to progesterone surge during menstrual cycle. Here, we present a case of a 29-year-old female with recurrent severe skin eruptions associated with her menstrual cycle that commenced a few years ago. She presented with blistered skin lesion of the body and also blisters in oropharyngeal mucosa leading to a variety of symptoms ranging from pruritus to difficulty in swallowing. Recognition of this process is important as it can result in significant debility among women. Our patient was treated with steroids and antihistamines to provide symptomatic relief and was encouraged to resume her oral contraceptive pill, which is a more definitive therapy.
自身免疫性孕酮性皮炎(APD)是一种免疫紊乱疾病,主要在女性中观察到,主要原因是月经周期中孕酮激增。在此,我们报告一例29岁女性病例,她在几年前开始出现与月经周期相关的反复发作的严重皮肤疹。她表现为身体皮肤出现水疱性病变,口咽黏膜也有水疱,导致从瘙痒到吞咽困难等各种症状。认识到这一过程很重要,因为它会导致女性出现明显的身体虚弱。我们的患者接受了类固醇和抗组胺药治疗以缓解症状,并被鼓励重新服用口服避孕药,这是一种更具确定性的治疗方法。