Impetigo herpetiformis during pregnancy: case report and review of the literature.
A case of impetigo herpetiformis in pregnancy is reported together with a review of the literature. The patient was a 25-year-old primigravida with pregnancy-induced hypertension (PIH). At 35 weeks' gestation, the patient developed a severely pruritic pustular rash with fever and leukocytosis. The skin of the affected areas was biopsied and showed intraepidermal pustules with a neutrophilic infiltrate. Treatment commenced with intravenous fluids, oral prednisone, and steroid creams. Labor was induced, and a normal delivery of a healthy infant was effected, following which the patient's condition improved rapidly. The clinical and laboratory features were typical of impetigo herpetiformis as described in the literature. Impetigo herpetiformis is a rare, potentially serious skin disorder occurring particularly during pregnancy, and must be diagnosed early to allow prompt, aggressive treatment.
Wolf
Y
Y
Department of Obstetrics and Gynecology "B", Serlin Maternity Hospital, Sourasky Medical Center, Tel-Aviv, Israel.
Groutz
A
A
Walman
I
I
Luxman
D
D
David
M P
MP
D000328:Adult; D001624:Betamethasone Valerate / Q000627:therapeutic use; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D011241:Prednisone / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D012872:Skin Diseases, Vesiculobullous / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy
D001624:Betamethasone Valerate; D011241:Prednisone