Bohne Ann-Sophie, Langen Katharina Antonia, Gläser Regine
Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus C, 24105, Kiel, Deutschland.
Dermatologie (Heidelb). 2024 Nov;75(11):837-844. doi: 10.1007/s00105-024-05419-3. Epub 2024 Oct 9.
Pregnancy is a special state for the expectant mother. Not only is a human being growing, but the pregnant woman's body is also constantly changing during the 40-week pregnancy. One organ that is frequently affected by these changes is the skin. As diagnosis and treatment during pregnancy can present treating physicians with particular challenges, it is important to know the relevant pregnancy dermatoses, to recognize and diagnose them reliably, and to observe red flags in order to protect the pregnant women and the unborn child. In this article, the most important changes in the skin of pregnant patients are explained and potential warning signs are presented. In addition to aspects of altered pigmentation, the influence of pregnancy on pre-existing inflammatory dermatoses and their improvement or worsening is also described. The occurrence of so-called specific pregnancy dermatoses over the course of pregnancy is also explained. Finally, the extent to which autoimmune diseases of the mother can also affect the unborn child and to what extent skin changes in the newborn can indicate a disease of the mother are described. The respective "red flags" are presented as leading symptoms and their relevance is discussed.
怀孕对于准妈妈来说是一种特殊状态。在40周的孕期中，不仅有一个新生命在成长，孕妇的身体也在不断变化。皮肤是经常受到这些变化影响的器官之一。由于孕期的诊断和治疗会给治疗医生带来特殊挑战，了解相关的妊娠皮肤病、可靠地识别和诊断它们，并留意警示信号以保护孕妇和未出生的胎儿非常重要。在本文中，将解释怀孕患者皮肤的最重要变化，并呈现潜在的警示信号。除了色素沉着改变的方面，还将描述怀孕对既往炎症性皮肤病的影响以及它们的改善或恶化情况。也将解释孕期所谓的特定妊娠皮肤病的发生情况。最后，将描述母亲的自身免疫性疾病在何种程度上会影响未出生的胎儿，以及新生儿的皮肤变化在何种程度上可能表明母亲患有疾病。相应的“警示信号”将作为主要症状呈现，并讨论它们的相关性。
