Qin Bi, Huang Yuhua, Zhang Yan
Institute of Traditional Chinese Medicine of Sichuan Academy of Chinese Medicine Sciences, Chengdu City, Sichuan Province, China.
SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241274891. doi: 10.1177/2050313X241274891. eCollection 2024.
Dermatological conditions in pregnancy pose unique challenges due to concerns for maternal and fetal health. We present a case of a 32-year-old primigravida who, at 36 weeks of gestation, exhibited melanotic papules and neoplasms on her neck, chest, and breasts. Seeking evaluation for potential effects on her unborn child and breastfeeding, she presented to our dermatological outpatient facility. Physical examination revealed varied pigmented papules and verrucous proliferations. Laboratory tests and imaging were unremarkable, with histological analysis confirming fibromas and pityriasis versicolor. The patient declined treatment during pregnancy, and postpartum, spontaneous regression of lesions occurred, with complete resolution within 1 year. The child exhibited normal development, with no recurrence observed at the 2-year follow-up. This case underscores the importance of multidisciplinary care and long-term monitoring in managing dermatological manifestations during pregnancy.
孕期的皮肤病由于涉及母体和胎儿健康问题而带来独特的挑战。我们报告一例32岁初产妇的病例，该产妇在妊娠36周时，颈部、胸部和乳房出现黑素丘疹和赘生物。为评估对其未出生胎儿和母乳喂养的潜在影响，她前来我们的皮肤科门诊就诊。体格检查发现有多种色素沉着丘疹和疣状增生。实验室检查和影像学检查无异常，组织学分析证实为纤维瘤和花斑糠疹。患者在孕期拒绝治疗，产后病变自发消退，1年内完全消失。孩子发育正常，在2年随访中未观察到复发。该病例强调了多学科护理和长期监测在管理孕期皮肤病表现中的重要性。
