Abstract

Advanced Pemphigoid Gestationis Initially Misdiagnosed as Pruritic Urticarial Papules and Plaques of Pregnancy

Background: Dermatoses of pregnancy are a common diagnostic challenge faced by obstetricians.

Case: A 34-year-old, gravida 5 para 1122, presented in the second trimester with a rash on bilateral lower extremities. She was diagnosed with pruritic urticarial papules and plaques of pregnancy (PUPPP) and given topical corticosteroids. Her symptoms worsened despite further treatment with oral corticosteroids. She was transferred to our hospital after presenting to her local emergency department. A presumed diagnosis of pemphigoid gestationis (PG) was made, and biopsies were taken. She was started on intravenous and topical corticosteroids with alleviation of her symptoms. Biopsies returned confirming PG.

Conclusion: PG is a rare condition whose presentation can mimic more common dermatoses of pregnancy. When symptoms do not improve despite adequate therapy, alternative diagnoses should be considered.


Author(s):

Michael Roche, Odessa Hamidi, Grace Weyant, Jaimey Pauli



Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+

Recommended Conferences

  • 4th Annual Conference on Gynecologic Oncology and Reproductive Disorders
    July 18-19, 2018 Atlanta, Georgia, USA
  • 7th Annual Congress & Expo on General Practice and Women’s Healthcare
    July 27-28, 2018 Vancouver, British Columbia, Canada
  • 6th American Gynecological Surgery Conference
    September 28-29, 2018 San Antonio | Texas | USA
  • 5th International Conference on Gynecology and Obstetrics
    October 08-10, 2018 Zurich, Switzerland
Flyer image

Abstracted/Indexed in

  • Index Copernicus
  • Google Scholar
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Geneva Foundation for Medical Education and Research