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Correlation of nipple eczema in pregnancy with atopic dermatitis in Northern India: a study of 100 cases.
An Bras Dermatol. 2019 Sep - Oct; 94(5):549-552.AB

Abstract

BACKGROUND

Nipple eczema is a less common presentation of atopic dermatitis. No studies in the literature have correlated nipple eczema in pregnancy as a manifestation of atopic dermatitis.

OBJECTIVE

To evaluate whether nipple eczema presenting in pregnancy is a manifestation of atopic dermatitis.

METHODS

This was a prospective observational study including 100 women who presented with nipple eczema for the first time during pregnancy. The exclusion criteria were any patient with previous history of nipple eczema, those already on oral or topical treatment for atopic dermatitis or nipple eczema, and other disorders mimicking eczema. Patients were divided into two groups ‒ nipple eczema with atopic dermatitis and without atopic dermatitis. Demographic data, clinical features, total leukocyte count, differential leukocyte count, absolute eosinophil counts, and serum IgE levels were compared between the two groups to detect association between nipple eczema in pregnancy and atopic dermatitis.

RESULTS

Out of 100 patients, 39 were diagnosed with atopic dermatitis, whereas 61 were ruled out to have any features suggestive of atopic dermatitis. There were no statistically significant differences in mean age, mean duration of symptoms, and serum IgE levels. In patients with atopic dermatitis, bilateral symptoms were noted more commonly than in patients without the disease, but this was statistically insignificant.

STUDY LIMITATIONS

Lack of long term follow-up and no large studies in literature to compare results.

CONCLUSION

Nipple eczema in pregnancy follows a similar pattern as in other age groups. The clinical profile of patients is similar in cases with and without atopic dermatitis.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Government Medical College and Hospital, Amritsar, Punjab, India.Department of Skin and Venereal Diseases, Government Medical College and Hospital, Chandigarh, India. Electronic address: dr.anishasethi@gmail.com.Department of Skin and Venereal Diseases, Government Medical College and Hospital, Chandigarh, India.Department of Orthopedics, Government Medical College and Hospital, Chandigarh, India.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

31777355

Citation

Puri, Anita, et al. "Correlation of Nipple Eczema in Pregnancy With Atopic Dermatitis in Northern India: a Study of 100 Cases." Anais Brasileiros De Dermatologia, vol. 94, no. 5, 2019, pp. 549-552.
Puri A, Sethi A, Puri KJPS, et al. Correlation of nipple eczema in pregnancy with atopic dermatitis in Northern India: a study of 100 cases. An Bras Dermatol. 2019;94(5):549-552.
Puri, A., Sethi, A., Puri, K. J. P. S., & Sharma, A. (2019). Correlation of nipple eczema in pregnancy with atopic dermatitis in Northern India: a study of 100 cases. Anais Brasileiros De Dermatologia, 94(5), 549-552. https://doi.org/10.1016/j.abd.2018.10.004
Puri A, et al. Correlation of Nipple Eczema in Pregnancy With Atopic Dermatitis in Northern India: a Study of 100 Cases. An Bras Dermatol. 2019 Sep - Oct;94(5):549-552. PubMed PMID: 31777355.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation of nipple eczema in pregnancy with atopic dermatitis in Northern India: a study of 100 cases. AU - Puri,Anita, AU - Sethi,Anisha, AU - Puri,Karan Jit Pal Singh, AU - Sharma,Anmol, Y1 - 2019/09/30/ PY - 2018/04/19/received PY - 2018/10/18/accepted PY - 2019/11/30/pubmed PY - 2019/11/30/medline PY - 2019/11/29/entrez KW - Dermatitis, atopic KW - Eczema KW - Nipples SP - 549 EP - 552 JF - Anais brasileiros de dermatologia JO - An Bras Dermatol VL - 94 IS - 5 N2 - BACKGROUND: Nipple eczema is a less common presentation of atopic dermatitis. No studies in the literature have correlated nipple eczema in pregnancy as a manifestation of atopic dermatitis. OBJECTIVE: To evaluate whether nipple eczema presenting in pregnancy is a manifestation of atopic dermatitis. METHODS: This was a prospective observational study including 100 women who presented with nipple eczema for the first time during pregnancy. The exclusion criteria were any patient with previous history of nipple eczema, those already on oral or topical treatment for atopic dermatitis or nipple eczema, and other disorders mimicking eczema. Patients were divided into two groups ‒ nipple eczema with atopic dermatitis and without atopic dermatitis. Demographic data, clinical features, total leukocyte count, differential leukocyte count, absolute eosinophil counts, and serum IgE levels were compared between the two groups to detect association between nipple eczema in pregnancy and atopic dermatitis. RESULTS: Out of 100 patients, 39 were diagnosed with atopic dermatitis, whereas 61 were ruled out to have any features suggestive of atopic dermatitis. There were no statistically significant differences in mean age, mean duration of symptoms, and serum IgE levels. In patients with atopic dermatitis, bilateral symptoms were noted more commonly than in patients without the disease, but this was statistically insignificant. STUDY LIMITATIONS: Lack of long term follow-up and no large studies in literature to compare results. CONCLUSION: Nipple eczema in pregnancy follows a similar pattern as in other age groups. The clinical profile of patients is similar in cases with and without atopic dermatitis. SN - 1806-4841 UR - https://www.unboundmedicine.com/medline/citation/31777355/Correlation_of_nipple_eczema_in_pregnancy_with_atopic_dermatitis_in_Northern_India:_a_study_of_100_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0365-0596(19)30057-1 DB - PRIME DP - Unbound Medicine ER -