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PREGNANCY-SPECIFIC DERMATOSES .i...i.....i....i... 1184
SPECIFIC TO PREGNANCY.. . . . . . . . . . . . . . . . . . . . . .. 1186
DERMATOLOGICAL TREATMENT.. . . . . . . . . . . . . . . .. 1188
Herpes Gestationis-This disease, more requenty known as dermatitis herpetormis is an inlammatory supeicialy seated multorm herpetiorm eruption, which is characterized by erythematous, vesicular, pustular, and bulous lesions.
-J. Whitridge Williams (1903)
Four dermatoses considered unique to pregnancy include intrahepatic cholestasis of pregnancy, pruritic urticarial papules and plaques of pregnancy (PUPPP), atopic eruption of pregnancy (AEP), and pemphigoid gestationis (PG). Descriptions of these are given in Table 62-1. As a group, these are diagnosed in up to 5 percent of pregnancies (Chander, 2011). Their gross appearance may be similar to each other or to other skin disorders, and pruritus is a common feature of all four. Only intrahepatic cholestasis and pemphigoid gestationis have been linked with adverse fetal outcomes.
• Intrahepatic Cholestasis of Pregnancy