Skin rash is defined as a condition of skin change of
the color and appearance and can be localized or affected the whole
body. Skin rashes during pregnancy can be normal or abnormal, in some
cases it can have a negative health affects to the mother and fetus. If
you are experience certain itching with or without rash, please consult
with your doctor as soon as possible.
There are some common types of skin rash in pregnancy, including
Herpes Gestationis
1.
Herpes Gestationis, a rare disease, mostly begins between 9 weeks’
gestation and 1 week postpartum, is a intensely pruritic bullous
autoimmune disease with intensive itching, urticated lesions develop initially in the periumbillical region adjacent to the navel and tends to recur in successive pregnancies. The disease is not viral infection herpes simplex related.
2. Symptoms
a. Intensive itching
b. Persistently, it lasts several weeks, but it may persist many months after childbirth.
c. The rash mostly starts in the 21 weeks of gestation.
d. It appears in many forms such as raised dots or bumps, fluid-filled blisters, etc.
e. Eruption can cause spreading (abdomen to the thighs, the extremities, palms, soles, etc.)
f. Etc.
3. Causes and risk factors
a. Autoimmune diseases
In
a study of Herpes gestationis autoantibodies recognize a 180-kD human
epidermal antigen by L H Morrison, R S Labib, J J Zone, L A Diaz, G J
Anhalt, researchers concluded that the study provides a first
biochemically characterization of the antigen recognized by
autoantibodies in the putative of autoimmune diseases, Herpes
Gestationis.
b. Recurrence in successive pregnancies
c. As a result of elevating of certain hormone, including estrogen
d. etc.
4. Treatments
Since
the disease can result in necrosis and kidney damage to the mother
and the health of fetus if left untreated, Early diagnosis and treatment
can reduce the risks of complications to the mother and prevent the
baby was born prematurely. Depending to the degree of the affect areas,
topical steroid creams can be used in mild cases. For more severe
disease, high doses of Corticosteroids can get the disease under
control quickly. In some women, Higher dose of Corticosteroids may be
necessary to prevent the rash flaring after childbirth.
In a study of mmunopathological and clinical studies in herpes gestationis by Foidart
JM, Yaar M, Hall R, Gaspard U, Katz SI., the researcher concluded that
We were unable to detect this antibody in the placental basement
membranes of a patient with herpes gestationis, nor could we demonstrate
that the anti-basement membrane antibody, found in the sera of herpes
gestationis patients, binds to homologous or autologous placentas and
fetal membranes.
In other study of Fetal risks in herpes gestationis by Jeff K. Shornick MD and
Martin M. Black MD. Researchers conclude that Herpes gestationis is
associated with an increase in prematurity and small-forgestational-age
infants. Supported by a bequest from the Walter Freudenthal Trust for
Dermatological Research.
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