妊娠期瘙痒症综述。
A review of pruritus in pregnancy.
作者信息
Rudder Meghan, Lefkowitz Emily G, Ruhama Tereda, Firoz Elnaz
机构信息
Department of Medicine, Women & Infants' Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Department of Dermatology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
出版信息
Obstet Med. 2021 Dec;14(4):204-210. doi: 10.1177/1753495X20985366. Epub 2021 Jan 21.
Pruritus is a common dermatologic complaint during pregnancy. Pruritus is reported by 23-38% of women during pregnancy, and 2% report severe pruritus. In addition to interfering with sleep and reducing overall quality of life during pregnancy, pruritus may be the first, or only, symptom of an underlying disorder that may impact maternal and fetal outcomes. It is therefore critical for all providers caring for pregnant women to be familiar with pregnancy-specific and non-specific conditions associated with pruritus to most effectively manage this unique population. In this review, we discuss clinical classification of pruritus, a practical approach to the differential diagnosis of pruritus in pregnancy, and focus on updates in the clinical features, diagnosis, management, and prognosis of pregnancy-specific causes of pruritus.
瘙痒是孕期常见的皮肤问题。据报道，23% - 38%的孕妇在孕期会出现瘙痒症状，其中2%的孕妇报告有严重瘙痒。瘙痒不仅会干扰睡眠并降低孕期的整体生活质量，还可能是某种潜在疾病的首发或唯一症状，而这种疾病可能会影响母婴结局。因此，所有照料孕妇的医护人员熟悉与瘙痒相关的孕期特异性和非特异性病症，对于最有效地管理这一特殊人群至关重要。在本综述中，我们讨论了瘙痒的临床分类、孕期瘙痒鉴别诊断的实用方法，并重点介绍了孕期特异性瘙痒病因的临床特征、诊断、管理及预后的最新情况。
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