Impetigo herpetiformis--a rare dermatosis of pregnancy associated with prenatal complications.
Ann Acad Med Singap. 2005 Oct; 34(9):565-8.AA

Abstract

INTRODUCTION

We describe a patient who developed an acute generalised pustular eruption associated with pyrexia at 33 weeks of gestation.

CLINICAL PICTURE

Her condition was complicated by preterm labour, requiring an emergency caesarean section delivery. A diagnosis of impetigo herpetiformis was made on clinicopathological grounds.

TREATMENT

Initial treatment with topical and systemic corticosteroids failed and oral methotrexate was added.

OUTCOME

She responded well to this therapy and required only 2 doses of weekly methotrexate.

CONCLUSION

Impetigo herpetiformis is a rare dermatosis of pregnancy that requires early recognition and treatment to prevent maternal and fetal morbidity. Combination therapy using oral corticosteroids and short-term methotrexate is effective.

Authors+Show Affiliations

Lim KS

National Skin Centre, Singapore. kslim@nsc.gov.sg

Tang MB

No affiliation info available

Ng PP

No affiliation info available

MeSH

AdultDermatitis HerpetiformisFemaleHumansPregnancyPregnancy Complications

Pub Type(s)

Case Reports

Journal Article

Language

eng

PubMed ID

16284679

Citation

Lim, K S., et al. "Impetigo Herpetiformis--a Rare Dermatosis of Pregnancy Associated With Prenatal Complications." Annals of the Academy of Medicine, Singapore, vol. 34, no. 9, 2005, pp. 565-8.

Lim KS, Tang MB, Ng PP. Impetigo herpetiformis--a rare dermatosis of pregnancy associated with prenatal complications. Ann Acad Med Singap. 2005;34(9):565-8.

Lim, K. S., Tang, M. B., & Ng, P. P. (2005). Impetigo herpetiformis--a rare dermatosis of pregnancy associated with prenatal complications. Annals of the Academy of Medicine, Singapore, 34(9), 565-8.

Lim KS, Tang MB, Ng PP. Impetigo Herpetiformis--a Rare Dermatosis of Pregnancy Associated With Prenatal Complications. Ann Acad Med Singap. 2005;34(9):565-8. PubMed PMID: 16284679.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Impetigo herpetiformis--a rare dermatosis of pregnancy associated with prenatal complications. AU - Lim,K S, AU - Tang,M B Y, AU - Ng,P P l, PY - 2005/11/15/pubmed PY - 2006/3/22/medline PY - 2005/11/15/entrez SP - 565 EP - 8 JF - Annals of the Academy of Medicine, Singapore JO - Ann Acad Med Singap VL - 34 IS - 9 N2 - INTRODUCTION: We describe a patient who developed an acute generalised pustular eruption associated with pyrexia at 33 weeks of gestation. CLINICAL PICTURE: Her condition was complicated by preterm labour, requiring an emergency caesarean section delivery. A diagnosis of impetigo herpetiformis was made on clinicopathological grounds. TREATMENT: Initial treatment with topical and systemic corticosteroids failed and oral methotrexate was added. OUTCOME: She responded well to this therapy and required only 2 doses of weekly methotrexate. CONCLUSION: Impetigo herpetiformis is a rare dermatosis of pregnancy that requires early recognition and treatment to prevent maternal and fetal morbidity. Combination therapy using oral corticosteroids and short-term methotrexate is effective. SN - 0304-4602 UR - https://www.unboundmedicine.com/medline/citation/16284679/Impetigo_herpetiformis__a_rare_dermatosis_of_pregnancy_associated_with_prenatal_complications_ DB - PRIME DP - Unbound Medicine ER -

Tags

Impetigo herpetiformis--a rare dermatosis of pregnancy associated with prenatal complications.Ann Acad Med Singap. 2005 Oct; 34(9):565-8.AA