Impetigo herpetiformis

Impetigo herpetiformis
Synonyms	Pustular psoriasis of pregnancy
Pronounce	N/A
Specialty	N/A
Symptoms	Pustules, erythema, fever, malaise
Complications	Hypocalcemia, sepsis, fetal distress
Onset	Pregnancy, typically in the third trimester
Duration	Until delivery, may resolve postpartum
Types	N/A
Causes	Unknown, possibly related to hormonal changes
Risks	Pregnancy, history of psoriasis
Diagnosis	Clinical diagnosis, skin biopsy
Differential diagnosis	Pemphigoid gestationis, atopic eruption of pregnancy, pruritic urticarial papules and plaques of pregnancy
Prevention	N/A
Treatment	Corticosteroids, calcium supplementation, topical treatments
Medication	Prednisone, calcium gluconate
Prognosis	N/A
Frequency	Rare
Deaths	N/A

Impetigo herpetiformis is a rare type of pustular psoriasis that occurs during pregnancy. It is characterized by the formation of large areas of pustules, typically in a herpetiform pattern. The condition is often associated with systemic symptoms such as fever, nausea, diarrhea, and pain.

Symptoms

The main symptom of impetigo herpetiformis is the appearance of pustules, which are small, raised, pus-filled bumps on the skin. These pustules typically form in a herpetiform pattern, which means they are grouped together in clusters. Other symptoms can include fever, nausea, diarrhea, and pain.

Causes

The exact cause of impetigo herpetiformis is unknown. However, it is thought to be related to changes in the immune system that occur during pregnancy. Some researchers believe that the condition may be triggered by hormonal changes, while others suggest that it may be related to genetic factors.

Diagnosis

Diagnosis of impetigo herpetiformis is typically based on the appearance of the skin and the presence of systemic symptoms. A skin biopsy may be performed to confirm the diagnosis.

Treatment

Treatment for impetigo herpetiformis typically involves the use of medications to reduce inflammation and control the immune system. These may include corticosteroids, immunosuppressants, and biologic drugs. In severe cases, hospitalization may be required.

Prognosis

The prognosis for impetigo herpetiformis is generally good, with most women experiencing a complete recovery after giving birth. However, the condition can recur in subsequent pregnancies.

See also

• Pustular psoriasis
• Pregnancy
• Skin conditions