title: Anesthetic management for cesarean delivery of a parturient with impetigo herpetiformis.
abstract: Impetigo herpetiformis (IH), or generalized pustular psoriasis of pregnancy, is an exceedingly rare, generalized pustular skin eruption occurring during pregnancy associated with hypovolemia, sepsis, hypocalcemia, and airway edema. Fetal outcomes are generally poor, and parturients with IH may present with emergent indications for cesarean delivery due to placental insufficiency. We present a case of IH in a 19-year-old G1P0 who underwent successful general anesthesia for cesarean delivery. Her case highlights the anesthetic implications for patients afflicted with this rare disease, including perioperative pain management, airway concerns, considerations for neuraxial anesthesia, and monitoring challenges.
authors.affiliation: From the Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Adrienne T
authors.initials: AT
authors.lastname: Duffield
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Smith