Phemphigoid gestationis

Description 

A 32-year-old nulliparous woman presented at 33 weeks' gestation with intense pruritus initiated 1 month earlier. She was under treatment for scabies, with no improvement. She was healthy and her pregnancy had had no intercurrences so far. During the physical examination at the emergency room, extensive erythematous plaques with vesicles and bullae could be seen on her abdomen, trunk, neck and all four extremeties (figures 1 and 2).

Figure 1

Macroscopic skin lesions of 33-week pregnant woman: initially, lesions are like erythematous papules or targetoid lesions (A, abdomen; B, back).

Figure 2

Macroscopic skin lesions of 33-week pregnant woman: over time, small vesicles or bullae appear on normal skin or on top of urticarial plaques (C, feet).

Due to the severity of her symptoms, she was admitted to the obstetrics ward in order to undergo intravenous...

https://ift.tt/2MwP8qN