title: Impetigo Herpetiformis during pregnancy: a case report and literature review.
abstract: BACKGROUND
  Impetigo herpetiformis (IH) is a rare pustular dermatosis that typically occurs in pregnant women with unknown etiology.
  
  
  METHODS
  We report an 18-year-old primigravida who presented with IH at nearly 30 weeks' gestation and was the first patient reported in mainland China. The patient's condition deteriorated rapidly in spite of treatment with corticosteroids and antibiotics, so we decided to terminate the pregnancy by induction of labor. After vaginal delivery she developed fever and her skin lesions did not disappear naturally. Fortunately her symptoms were resolved with the treatment of antibiotics and acitretin, and at day 60 postpartum her skin lesions had completely disappeared.
  
  
  CONCLUSIONS
  Although IH is associated with high mortality and morbidity in both fetus and mother, a better prognosis could be achieved with an immediate diagnosis and proper treatment. The etiology of IH needs to be further explored and the process of diagnosis and therapy should be standardized.
authors: West China Second University Hospital, Sichuan University, Chengdu, 610041 Sichuan, PR China.
authors: Qian-Qian
authors: QQ
authors: Gao
authors: Ming-Rong
authors: MR
authors: Xi
authors: Qiang
authors: Q
authors: Yao
mesh_terms: D017255:Acitretin / Q000627:therapeutic use*; D000293:Adolescent; D002681:China; D003874:Dermatitis Herpetiformis / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007641:Keratolytic Agents / Q000627:therapeutic use*; D007751:Labor, Induced; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome
chemical_list: D007641:Keratolytic Agents; D017255:Acitretin