The diagnosis and management of eczema in pregnancy

Jordaan H.F. (2009)

Review

Only four specific dermatoses of pregnancy are currently recognised, namely pemphigoid gestationis, polymorphic eruption of pregnancy, atopic eruption of pregnancy, and intrahepatic cholestasis of pregnancy. Atopic eruption of pregnancy is a somewhat confusing term and seems to be synonymous with atopic eczema. Three forms of atopic eczema in pregnancy are recognised: exacerbated atopic dermatitis, E-type atopic eruption of pregnancy, and P-type atopic eruption of pregnancy. The E- and P-types present during pregnancy. The mainstay of treatment is liberal use of emollients and topical corticosteroids. For widespread, incapacitating eczema not responding to optimised topical therapy, ultraviolet light, prednisone, cyclosporine or azathioprine should be considered.

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