What skin diseases can occur during pregnancy?

　　During pregnancy, women, due to endocrine changes and fetus To meet the needs of growth and development, the mother's body will undergo a series of adaptive changes, and the skin will also undergo significant changes, and some may even produce disease . pregnancy related skin disease There are the following types:

　　Chloasma of pregnancy: Pregnancy increases melanin due to the increase in melanin, which can cause skin pigmentation to deepen, and chloasma of pregnancy may appear on the face. Generally, it gradually subsides after delivery, but it is not easy to completely return to its original color.

　　Stretch marks: due to pregnancy Uterus The swelling and fragility of the elastic tissue increase, causing the elastic fibers of the abdominal skin of pregnant women to break, and linear skin atrophy lines may appear on the abdomen, generally called stretch marks. It generally does not subside after childbirth.

　　Candida in pregnancy Vaginitis : Symptoms include increased leucorrhea, yellow milk-like discharge and gray-white membrane in the vagina, unbearable itching of the vulva, and local skin thickening due to scratching. should arrive Hospital The dermatology department will do a vaginal secretion test, and if Candida is found, the diagnosis can be confirmed. Nystatin suppositories or 1-2% gentian violet can be used externally.

　　Herpes pregnancy: This is a skin disease mainly caused by blisters. It usually appears in the 4th to 5th month of pregnancy. It may start with general discomfort, fever , a few days later, erythema, blisters and even bullae may appear on the limbs, hands, feet, head and face. After the blisters break, scabs will be accompanied by fever and severe itching. 22% of patients will have rashes that subside on their own in the 8th to 9th month of pregnancy. Postpartum Returned to normal in 3 months. Antihistamine drugs such as chlorpheniramine and diphenhydramine can be used to treat this disease, and severe patients can take the corticosteroid hormone prednisone.

　　Pruritus rash of pregnancy: It usually occurs in the middle 3 months of pregnancy, mainly in the abdomen, and is often limited to stretch marks. Later, it spreads to the whole body, manifesting as small papules, accompanied by severe itching, often with bloody scabs due to scratching, and the skin becomes rough and thickened. Treatment is the same as for herpes pregnancy.

　　Papular dermatitis of pregnancy: manifested by erythema, wheal-like papules all over the body, often covered with scabs, and severe itching. The disease resolves rapidly after delivery. Treatment is with high-dose corticosteroids.

　　Crustoid pustulosis: Initially, clusters of small pustules appear, with redness surrounding the pustules. The pustules are arranged in a ring shape and then dry up and become scabbed. At the same time, a batch of new pustules appear around the edge of the patch, possibly forming several rings. The disease is sometimes accompanied by chills, fever, vomiting, diarrhea and joint pain, and in severe cases, sepsis. Miscarriage, stillbirth and baby Dies a few days after birth. Therefore, if you suffer from this disease, you need to treat it promptly. You can use corticosteroids in large amounts. In severe cases, you can terminate the pregnancy.

　　During pregnancy, existing skin diseases can be significantly aggravated, such as systemic lupus erythematosus, intermittent porphyria, systemic scleroderma, rheumatoid arthritis, etc. Pregnancy with disease should be avoided.