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73206

Severe Polymorphic Eruption of Pregnancy Developing in A Late Term Primigravida: A Case Report and Review of Literature

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background: Polymorphic eruption of pregnancy [PEP] is a benign inflammatory dermatosis of pregnancy of unknown etiology developing in the third trimester as an intensely pruritic rash and inflamed striae with peri-umbilical sparing. It is a self-limiting condition which resolves after delivery and has no maternal or fetal adverse effects. There are no specific investigations. Diagnosis is based on history and typical clinical features. Emollients, topical corticosteroids and oral antihistamines provide symptomatic relief, though a few patients with severe symptoms may require a short course of oral or injectable corticosteroids. Autologous hemotherapy is a safe option and can be considered in severe conditions.
Case summary: This report describes an unusual patient with singleton pregnancy presenting at 41 weeks gestation with sudden onset intense itching and rash on abdomen, upper part of legs and arms. We have summarized current literature related to PEP and evaluated the variations in clinical presentations, relevant etiopathogenesis and treatment options.

DOI

10.21608/ijma.2020.22209.1084

Keywords

polymorphic, Dermatosis, Pruritis, Peri-umbilical sparing, Pregnancy

Authors

First Name

Shashwati

Last Name

Sen

MiddleName

-

Affiliation

Mohak Hospital and Research Centre, Stanley Road, Prayagraj

Email

shashwati.sarkar@gmail.com

City

Prayagraj

Orcid

0000-0002-7226-5492

First Name

Harish

Last Name

Srivastava

MiddleName

-

Affiliation

Mohak Hospital and Research Centre, Stanley Road, Prayagraj

Email

mohakhospitalallahabad@gmail.com

City

Prayagraj

Orcid

-

First Name

Gautam

Last Name

Sen

MiddleName

-

Affiliation

Sr. DMO, Railway Hospital, Prayagraj

Email

gautamsen2001@gmail.com

City

Prayagraj

Orcid

-

Volume

2

Article Issue

2

Related Issue

13522

Issue Date

2020-04-01

Receive Date

2020-01-20

Publish Date

2020-04-01

Page Start

328

Page End

331

Print ISSN

2636-4174

Online ISSN

2682-3780

Link

https://ijma.journals.ekb.eg/article_73206.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=73206

Order

1

Type

Case Report

Type Code

819

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023