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Pregnancy : itchy skin rashes

Pregnancy is a transformative period in a woman's life, marked not only by physiological shifts internally but also by visible changes on the skin. While some of these skin alterations are routine consequences of hormonal fluctuations, others are specific dermatological conditions unique to or exacerbated during pregnancy. Understanding these changes is essential for clinicians to provide timely care, guide expectant mothers, and mitigate potential complications.

The following table delineates the various dermatoses and common skin changes that occur during pregnancy. It presents a concise overview of the descriptions, key features, management strategies, and associated fetal risks for each condition. This quick guide aims to assist primary care clinicians in diagnosing, treating, and counseling patients about these dermatological phenomena during their gestational journey.

ConditionDescriptionKey Features and DiagnosisTreatment & ManagementAssociated Fetal Risks
Normal Skin Changes in PregnancyHormonal changes in pregnancy result in physiological alterations in the skin.Linea nigra, melasma, darkening of the areola/nipple/genital skin, palmar erythema, telangiectasia, venulectasia, varicose veins, striae gravidarum, post-partum hair thinning.Physiological changes; general skincare recommended.None
Polymorphic Eruption of Pregnancy (PUPPP)Also known as pruritic urticarial papules and plaques of pregnancy.Characterized by itchy red bumps and hives, especially in the...

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