[Severe form of herpes gestationis].
We report a very severe form of herpers gestationis that arose at the 26(th) week of pregnancy and reached us for observation at the 30(th) week. Herpes gestationis in an autoimmune vesicobullous dermatosis characterised by skin eruptions, intense itching and consequent increase in fetal morbility, with delayed intrauterine growth and prematurity. Owing to its particular severity (involvement of the entire body surface including the face), between the 30th and the 32(nd) weeks we had to address a severe clinical condition characterised by anaemia, marked hypoproteinaemia, hypoalbuminaemia, hupertension and hyperglycaemia which led us to resort to the maximum dose of oral corticotherapy in association with topical therapy using clobetasol propionate. In our opinion the results obtained were highly statisfactory with the result that at the end of the 37(th) week, in consideration of the patient's obstetric history, podalic presentation and parity, we performed a Caesarean delivering a newborn of 3000 g in excellent condition. The patient was discharged symptom-free on the 6(th) day and the newborn was in full healt.
III U.O. di Ginecologia ed Ostetricia, Dipartimento di Scienze Chirurgiche Generali e Specialistiche, Università degli Studi di Bari, Bari, Italy. g.orsini@gynecology3.uniba.it
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Orsini
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Loizzi
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Morelli
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Chiechi
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Sabatini
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Distante
D000328:Adult; D005260:Female; D006801:Humans; D006559:Pemphigoid Gestationis / Q000175:diagnosis / Q000188:drug therapy; D011247:Pregnancy; D012720:Severity of Illness Index