Pustular psoriasis of pregnancy (Impetigo herpetiformis) - case report

Kondo, Rogério Nabor; Araújo, Fernanda Mendes; Pereira, Allamanda Moura; Lopes, Vivian Cristina Holanda; Martins, Ligia Márcia Mario

doi:10.1590/abd1806-4841.20132134

Cited by 34 publications

(49 citation statements)

References 6 publications

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“…The patients may also have constitutional symptoms such as fever and generalized body malaise. The symptoms such as nausea, vomiting, dehydration, diarrhea, chills and convulsions have also been reported but these were absent in our patient [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 56%

Recurrent impetigo herpetiformis: case report

Wamalwa¹

2017

Pan Afr Med J

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Impetigo herpetiformis (pustular psoriasis of pregnancy) is a rare dermatosis of pregnancy that typically starts in the 2nd half of pregnancy and resolves postpartum. It may recur in subsequent pregnancies. I present a case of 23 year old female gravida 4 para 3 with recurrent impetigo herpetiformis at 26 weeks gestation. She presented with a one month history of pustular lesions which responded to treatment with prednisone. She delivered at term with a favourable outcome. The disease resolved one month postpartum. This was the second recurrence of the disease. She had her first episode of impetigo herpetiformis during the second pregnancy. The disease recurred in the 3rd pregnancy and resulted in a still birth.

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Section: Discussionmentioning

confidence: 56%

Recurrent impetigo herpetiformis: case report

Wamalwa¹

2017

Pan Afr Med J

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“…However, it may relapse during the first menstruation after delivery . Stillbirth, intrauterine fetal demise and neonatal demise are associated risks due to placental insufficiency …”

Section: Epidemiologymentioning

confidence: 99%

Generalized pustular psoriasis: a review and update on treatment

Hoegler

John

Handler

et al. 2018

Acad Dermatol Venereol

160

193

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Generalized pustular psoriasis (GPP) is a subtype of pustular psoriasis characterized by painful and occasionally disfiguring cutaneous manifestations with sepsis-like systemic symptoms. Affecting any age and race, GPP can occur with other forms of psoriasis or by itself. Stimuli for flares include medications, infections and environmental triggers. The interleukin family and caspase recruitment domain family have been implicated in its pathogenesis. Other forms of pustular psoriasis include impetigo herpetiformis, palmoplantar pustular psoriasis, annular pustular psoriasis and acrodermatitis continua of Hallopeau. Treatment is not well established, but includes the use of retinoids, methotrexate, cyclosporine, corticosteroids, TNF-alpha inhibitors, topical therapy and phototherapy. The use of TNF-alpha inhibitors may result in the formation of antidrug antibodies and should be administered with methotrexate.

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“…In some cases in which the maternal and fetal conditions are not severe, the pregnancy will continue to term with treatment [9,10]; however, despite treatment, maternal and/or fetal deaths have been reported [5,6]. In our case, although the fetus and the mother were stable from a gynecological standpoint, urgent surgery was performed.…”

Section: Case Reportmentioning

confidence: 63%

Anesthetic Management for Caesarean Section in a Patient with Impetigo Herpetiformis

Kim

2016

Soonchunhyang Med Sci

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Impetigo herpetiformis (IH) is an extremely rare pustular disorder and potentially life-threatening condition for both mother and fetus. Intrauterine growth retardation, fetal abnormalities, and even fetal/neonatal death can occur with worsening maternal disease and are probably related to placental insufficiency. Maternal risk is linked to fluid and electrolyte abnormalities, in particular, hypocalcemia-induced convulsions and sepsis. Therefore, early recognition is crucial to reduce both maternal and fetal morbidities, and a patient with IH may require emergency caesarean delivery. Here, we report a case of a 34-year-old pregnant woman with IH who underwent successful urgent general anesthesia for caesarean section.

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Pustular psoriasis of pregnancy (Impetigo herpetiformis) - case report

Cited by 34 publications

References 6 publications

Recurrent impetigo herpetiformis: case report

Recurrent impetigo herpetiformis: case report

Generalized pustular psoriasis: a review and update on treatment

Anesthetic Management for Caesarean Section in a Patient with Impetigo Herpetiformis

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