Alvarez Martinez David, Ricard-Gauthier Dominique, Carbonne Bruno, Kaya Gürkan
Service de dermatologie et vénéréologie, Département de médecine, Hôpitaux universitaires de Genève, 1211 Genève 14.
Département de gynécologie-obstétrique, Centre hospitalier Princesse Grace, 1 avenue Pasteur, 98000 Monaco.
Rev Med Suisse. 2022 Mar 30;18(775):596-603. doi: 10.53738/REVMED.2022.18.775.596.
Pregnancy has a substantial impact on the hormonal status of the organism, consequently influencing the physiology of the skin. This results in dermatoses that only occur during pregnancy, which can also improve or exacerbate pre-existing dermatoses. In this article, we explain the management of pregnancy-specific dermatoses : atopic eruption of pregnancy, polymorphic eruption of pregnancy, pemphigoid gestationis, impetigo herpetiformis, and intrahepatic cholestasis of pregnancy. It is essential to clearly distinguish these different dermatoses as some of them, such as pemphigoid gestationis, impetigo herpetiformis and intrahepatic cholestasis of pregnancy, can have fetal consequences and as result, need to be closely monitored by the obstetricians.
怀孕会对机体的激素状态产生重大影响,从而影响皮肤的生理功能。这会导致仅在孕期出现的皮肤病,这些皮肤病也可能使原有的皮肤病改善或加重。在本文中,我们阐述了特定于孕期的皮肤病的管理:妊娠性特应性皮疹、妊娠多形性皮疹、妊娠类天疱疮、疱疹样脓疱病和妊娠肝内胆汁淤积症。明确区分这些不同的皮肤病至关重要,因为其中一些,如妊娠类天疱疮、疱疹样脓疱病和妊娠肝内胆汁淤积症,可能会对胎儿产生影响,因此需要产科医生密切监测。