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A case of recurrent impetigo herpetiformis treated with systemic corticosteroids and narrowband UVB.
Cutan Ocul Toxicol. 2012 Mar; 31(1):67-9.CO

Abstract

Impetigo herpetiformis is a rare pustular eruption with usual onset during the third trimester of pregnancy. The disease tends to remit after delivery, but may recur in subsequent pregnancies. Here we present a recurrent case of impetigo herpetiformis with earlier onset and poor response to corticosteroids in the subsequent pregnancy. She had widespread, erythematosquamous patches with tiny superficial pustules in the third trimester of her first pregnancy. Histopathological and clinical findings were consistent with impetigo herpetiformis. She was treated with systemic prednisolone and had a healthy baby without any complication. Three years later, the patient presented with impetigo herpetiformis again in the second trimester of her second pregnancy. After six weeks of oral prednisolone treatment, the lesions improved, but there were still new pustule formations and narrowband ultraviolet B treatment was added. Skin eruption cleared and she had a healthy baby in the 38th week of her second pregnancy. The corticosteroid dose was tapered gradually and stopped after delivery. Early diagnosis and treatment is crucial in impetigo herpetiformis because of the risk of maternal and fetal complications. When prednisolone is not enough to control the eruption alone, narrowband UVB can safely be added to the treatment.

Authors+Show Affiliations

Department of Dermatology, Ataturk Education and Research Hospital, Izmir, Turkey. bozdagk@gmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22264139

Citation

Bozdag, Kubra, et al. "A Case of Recurrent Impetigo Herpetiformis Treated With Systemic Corticosteroids and Narrowband UVB." Cutaneous and Ocular Toxicology, vol. 31, no. 1, 2012, pp. 67-9.
Bozdag K, Ozturk S, Ermete M. A case of recurrent impetigo herpetiformis treated with systemic corticosteroids and narrowband UVB. Cutan Ocul Toxicol. 2012;31(1):67-9.
Bozdag, K., Ozturk, S., & Ermete, M. (2012). A case of recurrent impetigo herpetiformis treated with systemic corticosteroids and narrowband UVB. Cutaneous and Ocular Toxicology, 31(1), 67-9. https://doi.org/10.3109/15569527.2011.602035
Bozdag K, Ozturk S, Ermete M. A Case of Recurrent Impetigo Herpetiformis Treated With Systemic Corticosteroids and Narrowband UVB. Cutan Ocul Toxicol. 2012;31(1):67-9. PubMed PMID: 22264139.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of recurrent impetigo herpetiformis treated with systemic corticosteroids and narrowband UVB. AU - Bozdag,Kubra, AU - Ozturk,Serap, AU - Ermete,Murat, Y1 - 2012/01/20/ PY - 2012/1/24/entrez PY - 2012/1/24/pubmed PY - 2012/5/30/medline SP - 67 EP - 9 JF - Cutaneous and ocular toxicology JO - Cutan Ocul Toxicol VL - 31 IS - 1 N2 - Impetigo herpetiformis is a rare pustular eruption with usual onset during the third trimester of pregnancy. The disease tends to remit after delivery, but may recur in subsequent pregnancies. Here we present a recurrent case of impetigo herpetiformis with earlier onset and poor response to corticosteroids in the subsequent pregnancy. She had widespread, erythematosquamous patches with tiny superficial pustules in the third trimester of her first pregnancy. Histopathological and clinical findings were consistent with impetigo herpetiformis. She was treated with systemic prednisolone and had a healthy baby without any complication. Three years later, the patient presented with impetigo herpetiformis again in the second trimester of her second pregnancy. After six weeks of oral prednisolone treatment, the lesions improved, but there were still new pustule formations and narrowband ultraviolet B treatment was added. Skin eruption cleared and she had a healthy baby in the 38th week of her second pregnancy. The corticosteroid dose was tapered gradually and stopped after delivery. Early diagnosis and treatment is crucial in impetigo herpetiformis because of the risk of maternal and fetal complications. When prednisolone is not enough to control the eruption alone, narrowband UVB can safely be added to the treatment. SN - 1556-9535 UR - https://www.unboundmedicine.com/medline/citation/22264139/A_case_of_recurrent_impetigo_herpetiformis_treated_with_systemic_corticosteroids_and_narrowband_UVB_ L2 - https://www.tandfonline.com/doi/full/10.3109/15569527.2011.602035 DB - PRIME DP - Unbound Medicine ER -