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Maternal dermatological conditions 

Maternal dermatological conditions
Chapter:
Maternal dermatological conditions
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0012
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date: 06 June 2020

This chapter includes pemphigoid gestationis, pruritic urticarial papules and plaques of pregnancy (PUPPP) or polymorphic eruptions, dermatological manifestations of scleroderma, neurofibromatosis (NF), and epidermolysis bullosa (EB). Epidemiology, autoimmune or genetic aetiologies, associated conditions, impact on pregnancy and vice versa, clinical presentation and course, diagnostic tools, differential diagnosis, and treatment modalities are explored. Multidisciplinary management with input from dermatology and immunology is highlighted. Varieties of scleroderma with differing prognosis, pre-pregnancy assessment and counselling, monitoring disease activity during pregnancy, assessments of fetal growth and well-being. The genetics of NF and EB, their different forms, pre-pregnancy assessment and counselling, prenatal diagnosis, epidemiology, diagnostic features, increased risk of complications (in NF), precautions to prevent further blistering (in EB) and anaesthetic challenges are discussed. Multidisciplinary management involving other specialists, assessments and monitoring during pregnancy, documentation pertaining to plans for mode of delivery, intrapartum care including analgesia and postnatal care including breastfeeding and contraception are detailed.

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