The Specific Dermatoses of Pregnancy

Introduction and purpose: Pregnancy-specific dermatoses are a group of pruritic skin disorders that arise exclusively during pregnancy or the postpartum period. They encompass four primary conditions: atopic eruption of pregnancy (AEP), polymorphic eruption of pregnancy (PEP), intrahepatic cholesta...

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Main Author: Paulina Polańska
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-02-01
Series:Quality in Sport
Subjects:
Online Access:https://apcz.umk.pl/QS/article/view/58219
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author Paulina Polańska
author_facet Paulina Polańska
author_sort Paulina Polańska
collection DOAJ
description Introduction and purpose: Pregnancy-specific dermatoses are a group of pruritic skin disorders that arise exclusively during pregnancy or the postpartum period. They encompass four primary conditions: atopic eruption of pregnancy (AEP), polymorphic eruption of pregnancy (PEP), intrahepatic cholestasis of pregnancy (ICP), and pemphigoid gestationis (PG). This review aims to provide a comprehensive analysis of their prevalence, clinical characteristics, underlying mechanisms, therapeutic strategies, and potential fetal risks. Results: These dermatoses often present with overlapping clinical features, making accurate differential diagnosis crucial. While some pose minimal risk to the fetus, others, such as ICP and PG, are associated with significant complications, including preterm birth and stillbirth. The underlying pathophysiology remains incompletely understood, with hormonal, immunological, genetic, and environmental factors playing key roles. Treatment strategies focus primarily on symptomatic relief, with topical corticosteroids and oral antihistamines being the mainstay of therapy, while ursodeoxycholic acid is the treatment of choice for ICP.  Conclusions: A multidisciplinary approach is essential for optimal maternal and fetal outcomes. Further research is needed to better understand the mechanisms and develop more effective treatment options for these conditions.
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spelling doaj-art-a49ee81ba4274709a8e48cb4791eba4e2025-02-06T08:24:40ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-02-013810.12775/QS.2024.38.58219The Specific Dermatoses of PregnancyPaulina Polańska0https://orcid.org/0009-0004-2365-79774th Military Clinical Hospital in Wroclaw, Weigla 5, 53-114 Wroclaw, Poland Introduction and purpose: Pregnancy-specific dermatoses are a group of pruritic skin disorders that arise exclusively during pregnancy or the postpartum period. They encompass four primary conditions: atopic eruption of pregnancy (AEP), polymorphic eruption of pregnancy (PEP), intrahepatic cholestasis of pregnancy (ICP), and pemphigoid gestationis (PG). This review aims to provide a comprehensive analysis of their prevalence, clinical characteristics, underlying mechanisms, therapeutic strategies, and potential fetal risks. Results: These dermatoses often present with overlapping clinical features, making accurate differential diagnosis crucial. While some pose minimal risk to the fetus, others, such as ICP and PG, are associated with significant complications, including preterm birth and stillbirth. The underlying pathophysiology remains incompletely understood, with hormonal, immunological, genetic, and environmental factors playing key roles. Treatment strategies focus primarily on symptomatic relief, with topical corticosteroids and oral antihistamines being the mainstay of therapy, while ursodeoxycholic acid is the treatment of choice for ICP.  Conclusions: A multidisciplinary approach is essential for optimal maternal and fetal outcomes. Further research is needed to better understand the mechanisms and develop more effective treatment options for these conditions. https://apcz.umk.pl/QS/article/view/58219pregnancy-specific dermatosesatopic eruption of pregnancypolymorphic eruption of pregnancyintrahepatic cholestasis of pregnancypemphigoid gestationis
spellingShingle Paulina Polańska
The Specific Dermatoses of Pregnancy
Quality in Sport
pregnancy-specific dermatoses
atopic eruption of pregnancy
polymorphic eruption of pregnancy
intrahepatic cholestasis of pregnancy
pemphigoid gestationis
title The Specific Dermatoses of Pregnancy
title_full The Specific Dermatoses of Pregnancy
title_fullStr The Specific Dermatoses of Pregnancy
title_full_unstemmed The Specific Dermatoses of Pregnancy
title_short The Specific Dermatoses of Pregnancy
title_sort specific dermatoses of pregnancy
topic pregnancy-specific dermatoses
atopic eruption of pregnancy
polymorphic eruption of pregnancy
intrahepatic cholestasis of pregnancy
pemphigoid gestationis
url https://apcz.umk.pl/QS/article/view/58219
work_keys_str_mv AT paulinapolanska thespecificdermatosesofpregnancy
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