Clinical Study of Cutaneous Manifestations in Pregnancy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Pregnancy is a period throughout which women undergo significant changes. Virtually all body systems are affected, including the skin.. Most changes in the female body are due to hormonal and mechanical alterations. During pregnancy profound immunologic, metabolic, endocrine and vascular changes occur, that are responsible for the changes of the skin and its appendages, both physiologic and pathologic. The main aim of our study was to evaluate the incidence of physiological and pathological skin changes in pregnancy. This study included 400 pregnant women attending the DVL OPD, Obstetrics and Gynaecology Department of a ACSR Govt. General hospital, Nellore, Andhra Pradesh, India, with skin problems. The present study was conducted from June 2017 to December 2018 over a period of 18 months. Detailed history elicitation and complete physical and dermatological examination were performed. Cutaneous changes were seen in a majority of patients, of which physiological changes were the most common (100%). The most common physiological changes were pigmentary changes (692 cases). In Pigmentary changes Linea nigra was most common in 242 (60.5%) cases, Secondary aerola in 195 (48.75%) cases, Hyperpigmentation in 132 (33%) cases, Melasma in 124 (31%) cases, Pigmentary demarcation lines in 9 (2.25%) cases, Melanocytic Nevus in one (0.25%) case. Second most common physiological change noted was Striae gravidarum in 336 (84%) cases. Third most common physiological change noted was vascular changes in 110 (27.5%) cases. Other miscellaneous common physiological changes noted were Glandular activity in 48 (12%) cases. Hair changes were seen in 10 (2.5%) cases, Nail changes in 9 (2.25%) cases, Mucous membrane changes in 67 (16.75%) cases, Pruritus in 20 (5%) cases, Molluscum fibrosum gravidarum in 8 (2%) cases, Acanthosis Nigricans in 11 (2.75%) cases, Xerosis in 6 (1.5%) cases, Urticaria in 6 (1.5%) cases, out of the total 1323.
Authors and Affiliations
Dr. Poola Ramachandra Rao MD, Dr. Avula Rajamma MD
Keywords
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- EP ID EP444189
- DOI 10.9790/0853-1801132430.
- Views 38
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