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Pustular psoriasis of pregnancy | Impetigo herpetiformes

  • AKA
    • Impetigo herpetiformes
    • Generalized pustular psoriasis of pregnancy
  • Etiologia
    • Psoríase
    • Pode ser induzida pela hipocalcémia da gravidez
  • Clinical presentation
    • Usually onset in the 3rd trimester but can occur anytime
  • Exames complementares
    • Hipocalcémia
    • Leucocitose, elevação VS
    • SU: albuminúria, piúria e hematúria
    • Histologia: pústulas espongiformes com neutrófilos
  • Prognóstico
    • Recurs and often worse with subsequent pregnancies, OCPs and menses
    • Risk of placental insufficiency and fetal death
    • Mother at risk of hypocalcemia with low vitamin D and albumin
  • Treatment
    • Systemic steroids
    • Cyclosporin
    • Infliximab
    • Anti-IL17
    • All safe during pregnancy