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Skin Conditions or Disorders during Pregnancy

Yes, pregnancy is a beautiful thing and yes, it does make your skin glow but thats not all. A pregnant woman experiences a lot of skin changes. The skin changes during pregnancy can be classified into two broad categories: specific dermatoses of pregnancy and physiological changes in pregnancy. Specific dermatoses of pregnancy can be further divided into: 1. Pruritic urticarial papules and plaques of pregnancy (PUPPPP) It is the most common dermatoses of pregnancy with an incidence of 1 in 240 pregnancies. It characteristically begins in the third trimester with a mean onset at 35 weeks of pregnancy. The common sites are lower abdomen particularly stretch marks and also on chest, back and breast. The lesions are intensely itchy and are erythematous with urticarial (hives) papules and plaques. Treatment is a short course of oral and topical steroids along with antihistamines. 2. Prurigo of pregnancy These are multiple excoriated papules over the abdomen and limbs. The onset is between 25 and 30 weeks of pregnancy and it occurs in 1 in 300 pregnancies.

Symptomatic treatment with corticosteroids and antihistamines. 3. Pruritic folliculitis of pregnancy It begins in the second or third trimester and resolves by two weeks post delivery. It consists of cluster of itchy red papules along the hair roots. Symptomatic treatment. 4. Herpes gestationis It is autoimmune blistering disease that typically begins in the late second trimester around 21 to 23 weeks. The common lesions seen are blisters. However, urticarial papules and plaques may also be present. It is commonly seen around the umbilicus. Treatment. Mild cases respond to topical corticosteroids and oral antihistamines. Severe cases may need oral steroids. And, physiological changes can be further divided into: 1. Hyperpigmentation of the nipples, surrounding areolae, and anogenital area. 2. Pigmentation of the linea alba, also called as linea nigra. This is a dark line that arises from the umbilicus up to the pubic region. 3. Hyperpigmentation of the axillae and inner thighs. 4. Spotty pigmentation over cheeks called chloasma. 5. Due to the pressure of the growing uterus there are certain changes to the blood vessels, which can manifest as haemorrhoids, varicose vein of lower limb, palmar erythma or redness, prominent veins around the umbilicus and breasts. 6. Striae distensae or stretch marks, cracked and sore nipples, itchy breasts, skin tags, increase in sweating, increase in the sebum secretion is experienced by majority of the pregnant women. Most of the physiological changes fade away after delivery. So dont fret. Article Source Published at Dr. Kisalay Sauravs blog