妊娠期瘙痒性皮肤病诊断与管理

Pruritus in Pregnancy of Diagnosis and Management

妊娠期瘙痒最常见于妊娠期特异性皮肤病,包括妊娠期肝内胆汁瘀积症、妊娠类天疱疮、妊娠期多形疹、妊娠期特应性皮疹。此外,系统性疾病、皮肤肿瘤、药疹等也可能是妊娠期皮肤瘙痒的原因。临床医生充分认识妊娠期瘙痒性皮肤病有助于准确及时地明确诊断,有效地管理病情以及规避母体和胎儿的潜在危险,改善预后。

Specific dermatoses of pregnancy, including intrahepatic cholestasis of pregnancy, pemphigoid gestationis, polymorphic eruption of pregnancy, and atopic eruption of pregnancy, are the most common conditions for pruritus during gestation. Besides, systemic causes, drug eruption or other conditions incidentally occurring in pregnancy should also be considered when necessary. Full understanding of pruritus dermatoses of pregnancy helps the clinicians to make an accurateand timely diagnosis, manage pruritus appropriately and minimize maternal and fetal risks, thus, improving maternal and fetal outcomes.