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Specific and Non-spesicific Dermatoses of Pregnancy in the Emergency Department
Mehmet Ali Bilgili1, Sevdegül Karadaş Bilvanisi2, Serap Gunes Bilgili3, AYSE GÜLER OKYAY4, Recep Dursun5, Ayse Serap Karadag61Department of Emergency Medicine, Van Research and Training Hospital, Sağlık Bilimleri University, Van, Turkey2Department of Emergency Medicine, Faculty of Medicine, Van Yuzuncu Yıl University, Van, Turkey
3Department Of Dermatology, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey
4Department of Obstetric and Gynecology, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey
5Department of Emergency Medicine, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
6Department of Dermatology, Goztepe Research and Training Hospital, Istanbul Medeniyet University, Istanbul, Turkey
INTRODUCTION: Dermatological changes both specific to pregnancy and nonspecific to it may be observed during gestation. In this study, specific and nonspecific dermatoses of pregnancy were investigated in patients admitted with dermatologic complaints to the emergency department. This information will be useful in identifying common and important dermatoses of pregnancy that need to be recognized at the point of primary care, so that the proper initial treatment and referrals can be instituted.
METHODS: Pregnant patients admitted with dermatological complaints to the emergency service were enrolled in the study. We retrospectively collected clinical and laboratory findings, diagnoses, administered treatments and admission rates.
RESULTS: Of the 4,280 pregnant patients admitted to the emergency service, 99 pregnant patients had dermatological complaints. While pregnancy-specific dermatoses were detected in 22 % of the patients, dermatoses nonspecific to the pregnancy were found in 78 % of them. Listed in descending order, specific dermatoses of pregnancy were atopic eruption of pregnancy (12%), polymorphic eruption of pregnancy (6%), intrahepatic cholestasis of pregnancy (2%), and pemphigoid gestationis (2%). Urticaria and angioedema were the most frequently diagnosed diseases among the dermatoses nonspecific to the pregnancy.
DISCUSSION AND CONCLUSION: There are many dermatoses are seen in the pregnancy, while urticaria and angioedema are the most common. Atopic eruption of pregnancy and the polymorphic eruption of pregnancy are the most common specific dermatoses. It was seen that the frequency of dermatological causes was quite low among the pregnant patients applying to the emergency service. However, some of these dermatoses may necessitate early diagnosis and immediate treatment. I
Manuscript Language: English