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A clinical study of the skin changes in pregnancy in kashmir valley of north India: a hospital based study.

Hassan I, Bashir S, Taing S - Indian J Dermatol (2015 Jan-Feb)

Bottom Line: Pregnancy is associated with multiple skin changes, most of which are physiological in nature, being the direct result of expected modifications of the hormonal, vascular, metabolic or immunologic status in pregnant females.The study population included 272 (42%) primigravidae and 378 (58%) multigravidae.Skin changes were seen in 100% of pregnant females in this study, the major proportion being formed by physiological skin changes of pregnancy though PSDs were also seen in a significant number.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, STD, Leprosy, Government Medical College, Srinagar (University of Kashmir), Jammu and Kashmir, India ; Department of Gynaecology and Obstetrics, Government Medical College, Srinagar (University of Kashmir), Jammu and Kashmir, India.

ABSTRACT

Background: Pregnancy is associated with multiple skin changes, most of which are physiological in nature, being the direct result of expected modifications of the hormonal, vascular, metabolic or immunologic status in pregnant females. Pregnancy however is also associated with certain pruritic eruptions, which not only cause distress to the pregnant female, but may influence the fetal outcome as well.

Objective: The objective of this study was to determine the pattern of skin changes associated with pregnancy and to identify the various clinical types of pregnancy specific dermatoses (PSDs).

Materials and methods: The study was a cross sectional study carried out at the out-patient Department of Gynecology and obstetrics of our hospital. A total of 650 pregnant females, irrespective of their parity and gestational age were screened for the presence of any dermatological complaint.

Results: The age of the study population ranged from 17 to 39 years (mean age: 24 years). The study population included 272 (42%) primigravidae and 378 (58%) multigravidae. Physiological skin changes of pregnancy were seen in all patients, out of which linea nigra was the most common change, seen in 520 (80%) cases. Specific dermatoses of pregnancy were seen in 32 (4.9%) cases, which included (in the decreasing order of frequency) prurigo of pregnancy (50% cases), intrahepatic cholestasis of pregnancy (25% cases), polymorphic eruption of pregnancy (22% cases) and pemphigus gestationis (3% cases).

Conclusion: Skin changes were seen in 100% of pregnant females in this study, the major proportion being formed by physiological skin changes of pregnancy though PSDs were also seen in a significant number.

No MeSH data available.


Related in: MedlinePlus

Multiple spider angiomas in a young primigravida
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Figure 4: Multiple spider angiomas in a young primigravida

Mentions: A total of 650 pregnant females with a mean age of 24 years (range: 17-39 years) were included in the study, out of which 272 (42%) were primigravidae and 378 (58%) were multigravidae. Skin changes were observed in all cases. All 650 cases presented with physiological skin changes of pregnancy, 32 (4.9%) had specific dermatoses of pregnancy, whereas 48 (7%) presented with miscellaneous skin disorders coinciding with pregnancy. Of the physiological changes, melasma was seen in 420 (64%) cases. Centrofacial pattern of melasma was seen in 282 (67%) cases, malar in 130 (31%) cases and mandibular pattern in 8 (2%) cases. Linea nigra occurred in 520 (80%) cases [Figure 1], whereas secondary areola was seen in 487 (75%) cases [Figure 2]. Localized pigmentation at other sites including abdomen, breasts and buttocks was seen in 23 (3.5%) cases. Striae distensae were present in 252 (38.7%) cases [Figure 3] of which 103 (41%) were primigravidae and 149 (59%) were multigravidae. The most common site for occurrence of striae was the abdomen (seen in all cases with striae) though other sites like thighs, abdomen and breasts were also involved in a few patients. Palmar erythema was seen in 41 (6.3%) cases, 24 (3.7%) had spider nevi [Figure 4], increased hair loss occurred in 12 (1.8%) cases and pyogenic granuloma was seen in 2 (0.3%) cases. Pyogenic granuloma occurred over the hand in one case whereas the lower lip was affected in the other [Table 1].


A clinical study of the skin changes in pregnancy in kashmir valley of north India: a hospital based study.

Hassan I, Bashir S, Taing S - Indian J Dermatol (2015 Jan-Feb)

Multiple spider angiomas in a young primigravida
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318058&req=5

Figure 4: Multiple spider angiomas in a young primigravida
Mentions: A total of 650 pregnant females with a mean age of 24 years (range: 17-39 years) were included in the study, out of which 272 (42%) were primigravidae and 378 (58%) were multigravidae. Skin changes were observed in all cases. All 650 cases presented with physiological skin changes of pregnancy, 32 (4.9%) had specific dermatoses of pregnancy, whereas 48 (7%) presented with miscellaneous skin disorders coinciding with pregnancy. Of the physiological changes, melasma was seen in 420 (64%) cases. Centrofacial pattern of melasma was seen in 282 (67%) cases, malar in 130 (31%) cases and mandibular pattern in 8 (2%) cases. Linea nigra occurred in 520 (80%) cases [Figure 1], whereas secondary areola was seen in 487 (75%) cases [Figure 2]. Localized pigmentation at other sites including abdomen, breasts and buttocks was seen in 23 (3.5%) cases. Striae distensae were present in 252 (38.7%) cases [Figure 3] of which 103 (41%) were primigravidae and 149 (59%) were multigravidae. The most common site for occurrence of striae was the abdomen (seen in all cases with striae) though other sites like thighs, abdomen and breasts were also involved in a few patients. Palmar erythema was seen in 41 (6.3%) cases, 24 (3.7%) had spider nevi [Figure 4], increased hair loss occurred in 12 (1.8%) cases and pyogenic granuloma was seen in 2 (0.3%) cases. Pyogenic granuloma occurred over the hand in one case whereas the lower lip was affected in the other [Table 1].

Bottom Line: Pregnancy is associated with multiple skin changes, most of which are physiological in nature, being the direct result of expected modifications of the hormonal, vascular, metabolic or immunologic status in pregnant females.The study population included 272 (42%) primigravidae and 378 (58%) multigravidae.Skin changes were seen in 100% of pregnant females in this study, the major proportion being formed by physiological skin changes of pregnancy though PSDs were also seen in a significant number.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, STD, Leprosy, Government Medical College, Srinagar (University of Kashmir), Jammu and Kashmir, India ; Department of Gynaecology and Obstetrics, Government Medical College, Srinagar (University of Kashmir), Jammu and Kashmir, India.

ABSTRACT

Background: Pregnancy is associated with multiple skin changes, most of which are physiological in nature, being the direct result of expected modifications of the hormonal, vascular, metabolic or immunologic status in pregnant females. Pregnancy however is also associated with certain pruritic eruptions, which not only cause distress to the pregnant female, but may influence the fetal outcome as well.

Objective: The objective of this study was to determine the pattern of skin changes associated with pregnancy and to identify the various clinical types of pregnancy specific dermatoses (PSDs).

Materials and methods: The study was a cross sectional study carried out at the out-patient Department of Gynecology and obstetrics of our hospital. A total of 650 pregnant females, irrespective of their parity and gestational age were screened for the presence of any dermatological complaint.

Results: The age of the study population ranged from 17 to 39 years (mean age: 24 years). The study population included 272 (42%) primigravidae and 378 (58%) multigravidae. Physiological skin changes of pregnancy were seen in all patients, out of which linea nigra was the most common change, seen in 520 (80%) cases. Specific dermatoses of pregnancy were seen in 32 (4.9%) cases, which included (in the decreasing order of frequency) prurigo of pregnancy (50% cases), intrahepatic cholestasis of pregnancy (25% cases), polymorphic eruption of pregnancy (22% cases) and pemphigus gestationis (3% cases).

Conclusion: Skin changes were seen in 100% of pregnant females in this study, the major proportion being formed by physiological skin changes of pregnancy though PSDs were also seen in a significant number.

No MeSH data available.


Related in: MedlinePlus