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Impetigo Herpetiformis during pregnancy: a case report and literature review.
Dermatology. 2013; 226(1):35-40.D

Abstract

BACKGROUND

Impetigo herpetiformis (IH) is a rare pustular dermatosis that typically occurs in pregnant women with unknown etiology.

CASE REPORT

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.

CONCLUSION

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+Show Affiliations

West China Second University Hospital, Sichuan University, Chengdu, 610041 Sichuan, PR China.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

23446290

Citation

Gao, Qian-Qian, et al. "Impetigo Herpetiformis During Pregnancy: a Case Report and Literature Review." Dermatology (Basel, Switzerland), vol. 226, no. 1, 2013, pp. 35-40.
Gao QQ, Xi MR, Yao Q. Impetigo Herpetiformis during pregnancy: a case report and literature review. Dermatology. 2013;226(1):35-40.
Gao, Q. Q., Xi, M. R., & Yao, Q. (2013). Impetigo Herpetiformis during pregnancy: a case report and literature review. Dermatology (Basel, Switzerland), 226(1), 35-40. https://doi.org/10.1159/000346578
Gao QQ, Xi MR, Yao Q. Impetigo Herpetiformis During Pregnancy: a Case Report and Literature Review. Dermatology. 2013;226(1):35-40. PubMed PMID: 23446290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impetigo Herpetiformis during pregnancy: a case report and literature review. AU - Gao,Qian-Qian, AU - Xi,Ming-Rong, AU - Yao,Qiang, Y1 - 2013/02/23/ PY - 2012/09/14/received PY - 2012/12/09/accepted PY - 2013/3/1/entrez PY - 2013/3/1/pubmed PY - 2014/1/29/medline SP - 35 EP - 40 JF - Dermatology (Basel, Switzerland) JO - Dermatology VL - 226 IS - 1 N2 - BACKGROUND: Impetigo herpetiformis (IH) is a rare pustular dermatosis that typically occurs in pregnant women with unknown etiology. CASE REPORT: 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. CONCLUSION: 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. SN - 1421-9832 UR - https://www.unboundmedicine.com/medline/citation/23446290/Impetigo_Herpetiformis_during_pregnancy:_a_case_report_and_literature_review_ L2 - https://www.karger.com?DOI=10.1159/000346578 DB - PRIME DP - Unbound Medicine ER -