Pemphigoid gestationis – a rare dermatosis of the prenatal period. Case report

Abstract

Introduction. Most skin lesions during pregnancy are associated with hormonal changes. Pemphigoid (herpes) gestationis (PG) is a significant dermatosis of the prenatal period reflecting pathology affecting the mother and fetus. Objective. The aim of the study was to present a PG case, a rare pregnancy dermatosis with a severe clinical outcome during the postpartum period. Case report . We present a case of a patient in whom skin lesions with tense blisters occurred at the 40th week of pregnancy. Herpes gestationis – a rare skin disease – was diagnosed based on the clinical picture. During the first days of puerperium, because of an aggressive disease course, the patient was transferred to a reference centre for skin disease treatment. She was given corticosteroid therapy, which brought the expected results. Conclusions. Pemphigoid gestationis is a rare and serious dermatosis of the prenatal period. Although the treatment of such diseases is the dermatologists’ task, obstetricians are responsible for diagnosis and for fetal monitoring considering placental pathology.

Keywords

• pemphigoid gestationis
• herpes gestationis
• dermatoses of pregnancy