Pregnancy and cutaneous changes

Abstract

Background: Pregnancy is associated with a number of changes in the skin. Some are directly related to pregnancy (dermatoses of pregnancy), some are modified by pregnancy, and yet others are referred to as physiological. We undertook a clinical study to determine the frequency and pattern of skin changes in pregnant females. Materials and Methods: A six-month, multi-centric, cross-sectional study was conducted. A total of 250 pregnant females participated in the study. Detailed history taking and complete dermatological examination were performed. Results were tabulated and analyzed. Results: Physiological skin changes were the most common finding, with pigmentary changes in 98% of the cases. Specific dermatoses of pregnancy were observed in 6.8% of the cases, with atopic eruption of pregnancy being the most common (4.8%). The prevalence of fungal infections was 9.6%. One case of psoriasis was exacerbated by pregnancy. Conclusion: Pregnant females are more likely to experience cutaneous manifestations. In order to establish the diagnosis, thorough history taking and knowledge of the clinical presentation are necessary. Key words: Pregnancy-specific dermatoses; Pregnancy; Physiological changes; Skin