Pruritus in Pregnancy

被引:20
作者
Stefaniak, Aleksandra A. [1 ,2 ,3 ]
Pereira, Manuel P. [1 ,2 ]
Zeidler, Claudia [1 ,2 ]
Staender, Sonja [1 ,2 ]
机构
[1] Univ Hosp Munster, Dept Dermatol, Esmarch Str 58, D-48149 Munster, Germany
[2] Univ Hosp Munster, Ctr Chron Pruritus, Esmarch Str 58, D-48149 Munster, Germany
[3] Wroclaw Med Univ, Dept Dermatol Venereol & Allergol, Wroclaw, Poland
关键词
LINKED-IMMUNOSORBENT-ASSAY; REFRACTORY INTRAHEPATIC CHOLESTASIS; INTRAVENOUS IMMUNOGLOBULIN THERAPY; PEMPHIGOID GESTATIONIS; HERPES-GESTATIONIS; POLYMORPHIC ERUPTION; ATOPIC-DERMATITIS; URTICARIAL PAPULES; CLINICAL-FEATURES; ADVERSE PREGNANCY;
D O I
10.1007/s40257-021-00668-7
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Pruritus in pregnancy is a common and burdensome symptom that may be a first sign of a pregnancy-specific pruritic disease (atopic eruption of pregnancy, polymorphic eruption of pregnancy, pemphigoid gestationis, and intrahepatic cholestasis in pregnancy) or a dermatosis coinciding with pregnancy by chance. Despite its high prevalence, pruritus is often underrated by physicians, and data regarding the safety profiles of drugs for pruritus are very limited. In this review, we illustrate the epidemiology, possible pathophysiology, clinical characteristics, and diagnostic workup of various pregnancy-related diseases and discuss antipruritic treatments. The prevalence of pruritus in pregnancy demonstrates the importance of symptom recognition and the need for an holistic approach, taking into account both the potential benefits for the patient and the potential risks to the fetus.
引用
收藏
页码:231 / 246
页数:16
相关论文
共 156 条
[1]  
Abedin P, 1999, Ethn Health, V4, P35
[2]   Xerosis cutis and associated co-factors in women with prurigo nodularis [J].
Akarsu, Sevgi ;
Ozbagcivan, Ozlem ;
Ilknur, Turna ;
Semiz, Fatma ;
Inci, Burcu Bahar ;
Fetil, Emel .
ANAIS BRASILEIROS DE DERMATOLOGIA, 2018, 93 (05) :671-679
[3]  
Akdis M, 2002, NEW TRENDS IN ALLERGY V, P113
[4]   Sensitivity and specificity of BP180 NC16A enzyme-linked immunosorbent assay for the diagnosis of pemphigoid gestationis [J].
Al Saif, Fatimah ;
Jouen, Fabienne ;
Hebert, Vivien ;
Chiavelli, Helene ;
Darwish, Basma ;
Duvert-Lehembre, Sophie ;
Joly, Pascal .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2017, 76 (03) :560-562
[5]   Retrospective analysis of pemphigoid gestationis in 32 Saudi patients - Clinicopathological features and a literature review [J].
Al-Saif, F. ;
Elisa, A. ;
Al-Homidy, A. ;
Al-Ageel, A. ;
Al-Mubarak, M. .
JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2016, 116 :42-45
[6]  
ALCALAY J, 1987, J REPROD MED, V32, P315
[7]  
Almeida Filipa Tavares, 2018, BMJ Case Rep, V2018, DOI 10.1136/bcr-2018-224346
[8]   Intrahepatic cholestasis of pregnancy: Perinatal outcome associated with expectant management [J].
Alsulyman, OM ;
Ouzounian, JG ;
AmesCastro, M ;
Goodwin, TM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (04) :957-960
[9]  
Ambros-Rudolph CM, 2017, HAUTARZT, V68, P87, DOI 10.1007/s00105-016-3922-z
[10]   Dermatoses of Pregnancy - Clues to Diagnosis, Fetal Risk and Therapy [J].
Ambros-Rudolph, Christina M. .
ANNALS OF DERMATOLOGY, 2011, 23 (03) :265-275