Abstract
A 38-year-old multiparous woman with post thyroidectomy hypoparathyroidism developed pruritic erythematous patches with multiple pustules on its margins on her thighs and groin accompanied by fever few days after delivery by caesarean section. Impetigo herpetiformis was diagnosed based on the typical clinicopathological findings. The patient was treated with intravenous fluids, calcium, Calcitrol and corticosteroids. The correction of hypocalcaemia was accompanied with rapid improvement of her skin disease and general condition. Our case is the fourth case of impetigo herpetiformis initially presented during puerperium and the first case of puerperal impetigo herpetiformis that is precipitated by secondary hypoparathyroidism. The awareness of the possible occurrence of impetigo herpetiformis during the puerperium allows early diagnosis, treatment and prevention of maternal complications.
Highlights
A 38-year-old Egyptian woman was admitted to Cairo University Hospital with extensive exfoliation of her skin
Hebra introduced the term impetigo herpetiformis (IH) to described five pregnant women, all of them were in toxic condition, febrile and had extensive pustular eruption
The correction of hypocalcaemia was accompanied with rapid improvement of her skin disease and general condition, indicating the importance of correction of hypocalcaemia in patients with impetigo herpetiformis precipitated by hypoparathyroidism [1]
Summary
A 38-year-old Egyptian woman was admitted to Cairo University Hospital with extensive exfoliation of her skin. Few days after her delivery, she developed pruritic erythematous patches with multiple pustules on its margins on her thighs, groins and abdominal wall. Multiple crusted plaques and extensive skin exfoliation of her trunk and extremities sparing her eyes and mucous membranes (Figure 1).
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