| Autor: |
Cristescu MI; Department of Dermatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; Elias University Emergency Hospital, 011461 Bucharest, Romania., Tutunaru CV; Department of Dermatology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Panaitescu A; Department of Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; Filantropia Clinical Hospital, 011132 Bucharest, Romania., Voiculescu VM; Department of Dermatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; Elias University Emergency Hospital, 011461 Bucharest, Romania. |
| Jazyk: |
angličtina |
| Zdroj: |
Life (Basel, Switzerland) [Life (Basel)] 2024 Nov 06; Vol. 14 (11). Date of Electronic Publication: 2024 Nov 06. |
| DOI: |
10.3390/life14111427 |
| Abstrakt: |
Gestational pemphigoid is a rare, autoimmune, subepidermal bullous disease with an incidence of 1 in 50,000 pregnancies, displaying itself through pruritic erythema and urticarial papules and plaques that evolve into tense bullae. Histopathological findings consist of subepidermal vesicles with perivascular eosinophils and lymphocytes, and direct immunofluorescence reveals C3 complement and, more rarely, IgG in a linear band along the basement membrane. The course is usually self-limiting within 6 months after delivery but, later, can be triggered by subsequent pregnancies, menstruation, or treatment with oral contraceptives. The newborn can be affected due to the transplacental passage of the maternal immunoglobulins, but, usually, less than 10% of newborns will develop lesions similar to pemphigoid gestationis. The diagnosis and management pose a difficult challenge and should be guided by the severity of the disease. We, therefore, provide a short literature review and discussion plus a case from our clinic, with a typical presentation but a delayed diagnosis and an undulating evolution, with severe manifestations and particularly difficult management due to unexpected complications. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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