Impetigo herpetiformis during pregnancy: case report and review of the literature

Autor: Wolf, Yoram, Groutz, Asnat, Walman, Igal, Luxman, Dov, David, Menachem
Zdroj: Acta Obstetricia et Gynecologica Scandinavica; 1995, Vol. 74 Issue: 3 p229-232, 4p
Abstrakt: A case of impetigo herpetiformis in pregnancy is reported together with a review of the literature.The patient was a 25-year-old primigravida with pregnancy-induced hypertension (PIH). At 35 weeks' gestation, the patient developed a severely pruritic pustular rash with fever and leukocytosis. The skin of the affected areas was biopsied and showed intraepidermal pustules with a neutrophilic infiltrate.Treatment commenced with intravenous fluids, oral prednisone, and steroid creams. Labor was induced. and a normal delivery of a healthy infant was effected, following which the patient's condition improved rapidly.The clinical and laboratory features were typical of impetigo herpetiformis as described in the literature. Impetigo herpetiformis is a rare, potentially serious skin disorder occurring particularly during pregnancy, and must be diagnosed early to allow prompt, aggressive treatment.
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