Prurigo gestationis: Difference between revisions
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{{Infobox medical condition | |||
| name = Prurigo gestationis | |||
| synonyms = [[Pruritic folliculitis of pregnancy]], [[Pruritic urticarial papules and plaques of pregnancy]] (PUPPP) | |||
| field = [[Dermatology]], [[Obstetrics]] | |||
| symptoms = Itchy papules and plaques on the skin, primarily on the abdomen and extremities | |||
| onset = During [[pregnancy]], typically in the second or third trimester | |||
| duration = Until delivery, with resolution postpartum | |||
| causes = Unknown, possibly related to hormonal changes or immune system alterations during pregnancy | |||
| risks = [[Pregnancy]], especially first pregnancies | |||
| diagnosis = Clinical evaluation, exclusion of other dermatoses of pregnancy | |||
| differential = [[Intrahepatic cholestasis of pregnancy]], [[Pemphigoid gestationis]], [[Atopic eruption of pregnancy]] | |||
| treatment = Topical [[corticosteroids]], [[antihistamines]], emollients | |||
| frequency = Rare, estimated to affect 1 in 300 to 1 in 450 pregnancies | |||
}} | |||
{{Short description|A skin condition occurring during pregnancy}} | {{Short description|A skin condition occurring during pregnancy}} | ||
{{Use dmy dates|date=October 2023}} | {{Use dmy dates|date=October 2023}} | ||
'''Prurigo gestationis''' is a [[dermatological]] condition that occurs during [[pregnancy]]. It is characterized by the development of itchy papules and nodules on the skin, typically appearing in the second or third trimester. This condition is considered a type of [[pruritic eruption of pregnancy]], which encompasses several skin disorders that can occur during pregnancy. | '''Prurigo gestationis''' is a [[dermatological]] condition that occurs during [[pregnancy]]. It is characterized by the development of itchy papules and nodules on the skin, typically appearing in the second or third trimester. This condition is considered a type of [[pruritic eruption of pregnancy]], which encompasses several skin disorders that can occur during pregnancy. | ||
==Presentation== | ==Presentation== | ||
Prurigo gestationis usually presents with small, itchy bumps on the skin. These lesions are often found on the [[extremities]], such as the arms and legs, but can also appear on the [[abdomen]] and other parts of the body. The papules are typically erythematous and can become excoriated due to scratching. | Prurigo gestationis usually presents with small, itchy bumps on the skin. These lesions are often found on the [[extremities]], such as the arms and legs, but can also appear on the [[abdomen]] and other parts of the body. The papules are typically erythematous and can become excoriated due to scratching. | ||
==Pathophysiology== | ==Pathophysiology== | ||
The exact cause of prurigo gestationis is not well understood. It is believed to be related to the [[immune system]] changes that occur during pregnancy. Hormonal fluctuations and increased levels of certain [[cytokines]] may also play a role in the development of this condition. | The exact cause of prurigo gestationis is not well understood. It is believed to be related to the [[immune system]] changes that occur during pregnancy. Hormonal fluctuations and increased levels of certain [[cytokines]] may also play a role in the development of this condition. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of prurigo gestationis is primarily clinical, based on the appearance of the skin lesions and the timing of their onset during pregnancy. A thorough [[medical history]] and [[physical examination]] are essential. In some cases, a [[skin biopsy]] may be performed to rule out other conditions with similar presentations, such as [[atopic dermatitis]] or [[polymorphic eruption of pregnancy]]. | Diagnosis of prurigo gestationis is primarily clinical, based on the appearance of the skin lesions and the timing of their onset during pregnancy. A thorough [[medical history]] and [[physical examination]] are essential. In some cases, a [[skin biopsy]] may be performed to rule out other conditions with similar presentations, such as [[atopic dermatitis]] or [[polymorphic eruption of pregnancy]]. | ||
==Management== | ==Management== | ||
The management of prurigo gestationis focuses on relieving the symptoms, particularly the intense itching. Treatment options may include: | The management of prurigo gestationis focuses on relieving the symptoms, particularly the intense itching. Treatment options may include: | ||
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* [[Antihistamines]] to help control itching and improve sleep. | * [[Antihistamines]] to help control itching and improve sleep. | ||
* Emollients and moisturizers to soothe the skin and prevent dryness. | * Emollients and moisturizers to soothe the skin and prevent dryness. | ||
In severe cases, systemic treatments may be considered, but these are typically avoided during pregnancy unless absolutely necessary due to potential risks to the fetus. | In severe cases, systemic treatments may be considered, but these are typically avoided during pregnancy unless absolutely necessary due to potential risks to the fetus. | ||
==Prognosis== | ==Prognosis== | ||
Prurigo gestationis is a benign condition that does not pose a risk to the mother or the fetus. The symptoms usually resolve after delivery, although they may persist for a short period postpartum. Recurrence in subsequent pregnancies is possible but not guaranteed. | Prurigo gestationis is a benign condition that does not pose a risk to the mother or the fetus. The symptoms usually resolve after delivery, although they may persist for a short period postpartum. Recurrence in subsequent pregnancies is possible but not guaranteed. | ||
==Related pages== | ==Related pages== | ||
* [[Pruritic urticarial papules and plaques of pregnancy]] | * [[Pruritic urticarial papules and plaques of pregnancy]] | ||
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* [[Pemphigoid gestationis]] | * [[Pemphigoid gestationis]] | ||
* [[Atopic eruption of pregnancy]] | * [[Atopic eruption of pregnancy]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Pregnancy-related cutaneous conditions]] | [[Category:Pregnancy-related cutaneous conditions]] | ||
Latest revision as of 00:49, 4 April 2025
| Prurigo gestationis | |
|---|---|
| Synonyms | Pruritic folliculitis of pregnancy, Pruritic urticarial papules and plaques of pregnancy (PUPPP) |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Itchy papules and plaques on the skin, primarily on the abdomen and extremities |
| Complications | N/A |
| Onset | During pregnancy, typically in the second or third trimester |
| Duration | Until delivery, with resolution postpartum |
| Types | N/A |
| Causes | Unknown, possibly related to hormonal changes or immune system alterations during pregnancy |
| Risks | Pregnancy, especially first pregnancies |
| Diagnosis | Clinical evaluation, exclusion of other dermatoses of pregnancy |
| Differential diagnosis | Intrahepatic cholestasis of pregnancy, Pemphigoid gestationis, Atopic eruption of pregnancy |
| Prevention | N/A |
| Treatment | Topical corticosteroids, antihistamines, emollients |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Rare, estimated to affect 1 in 300 to 1 in 450 pregnancies |
| Deaths | N/A |
A skin condition occurring during pregnancy
Prurigo gestationis is a dermatological condition that occurs during pregnancy. It is characterized by the development of itchy papules and nodules on the skin, typically appearing in the second or third trimester. This condition is considered a type of pruritic eruption of pregnancy, which encompasses several skin disorders that can occur during pregnancy.
Presentation[edit]
Prurigo gestationis usually presents with small, itchy bumps on the skin. These lesions are often found on the extremities, such as the arms and legs, but can also appear on the abdomen and other parts of the body. The papules are typically erythematous and can become excoriated due to scratching.
Pathophysiology[edit]
The exact cause of prurigo gestationis is not well understood. It is believed to be related to the immune system changes that occur during pregnancy. Hormonal fluctuations and increased levels of certain cytokines may also play a role in the development of this condition.
Diagnosis[edit]
Diagnosis of prurigo gestationis is primarily clinical, based on the appearance of the skin lesions and the timing of their onset during pregnancy. A thorough medical history and physical examination are essential. In some cases, a skin biopsy may be performed to rule out other conditions with similar presentations, such as atopic dermatitis or polymorphic eruption of pregnancy.
Management[edit]
The management of prurigo gestationis focuses on relieving the symptoms, particularly the intense itching. Treatment options may include:
- Topical corticosteroids to reduce inflammation and itching.
- Antihistamines to help control itching and improve sleep.
- Emollients and moisturizers to soothe the skin and prevent dryness.
In severe cases, systemic treatments may be considered, but these are typically avoided during pregnancy unless absolutely necessary due to potential risks to the fetus.
Prognosis[edit]
Prurigo gestationis is a benign condition that does not pose a risk to the mother or the fetus. The symptoms usually resolve after delivery, although they may persist for a short period postpartum. Recurrence in subsequent pregnancies is possible but not guaranteed.
