Pregnancy specific dermatoses presenting in a tertiary care hospital of Peshawar
DOI:
https://doi.org/10.52442/jrmi.v9i3.494Keywords:
Frequency, pregnancy dermatosis, specific dermatoses of pregnancy.Abstract
ABSTRACT
Introduction: Pregnancy can produce appendageal and cutaneous alterations, leading to three types of skin manifestations. These include benign skin conditions due to normal physiological changes, flare up of pre-existing skin conditions, and the specific dermatoses of pregnancy.
Objective: To determine the dermatoses specific to pregnancy among women visiting a tertiary care hospital of Peshawar, Khyber Pakhtunkhwa, Pakistan.
Materials & Methods: This descriptive study was conducted in the Department of Dermatology and Department of Obstetrics & Gynecology at Hayatabad Medical Complex, MTI, Peshawar from September 20, 2019, to March 20, 2020. All pregnant women presenting in any trimester of pregnancy of ages 15 to 45 years, any gravidity or parity were included through consecutive non-probability sampling technique. Women diagnosed previously with connective tissue disease, immuno-bullous disease, diabetes mellitus, pre-existing liver, renal or any other cutaneous or systemic disease were excluded from the study. Sample size of 141 was calculated using OpenEpi sample size calculator Data were analyzed by SPSS 23 for descriptive statistics.
Results: A total of the mean age of subjects was 28.5 ± 4.8 years; 72.3% of the patients were multigravida. The mean period of gestation was 19.9 ± 7.9 weeks and most patients (41.1%) presented in the 2nd trimester. Specific dermatoses of pregnancy were found in 12.7% of patients. Polymorphic Eruption of Pregnancy was recorded in 5.7%, Atopic Eruption of Pregnancy was recorded in 4.9%, which included eczema of pregnancy in 2.1%, Prurigo Gestationis in 2.1%, and Pruritic Folliculitis in 0.7%. The least common dermatoses of pregnancy were Pemphigoid Gestationis and Intrahepatic Cholestasis of Pregnancy which were present in 1.4% and 0.7% of patients respectively.
Conclusion: Specific dermatoses of pregnancy are fairly common, with Polymorphic Eruption of Pregnancy and Atopic Eruption of Pregnancy being more prevalent.
