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Erythema multiforme in pregnancy

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#1 Erythema multiforme in pregnancy

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Erythema multiforme in pregnancy

Erythema multiforme in pregnancy year-old pregnant prenancy at 34 weeks prrgnancy gestation presented with an itchy rash that had appeared several days earlier. The rash began on her lower abdomen and slowly spread to her thigh skinfolds, pregnncy, breasts, back, upper arms, and legs. The patient Teens wearing daipers otherwise healthy and was having an uneventful pregnancy. Her only recent medications Erythema multiforme in pregnancy prenatal vitamins and diphenhydramine Benadryl. She denied using new laundry detergent, deodorant, or soap. She also denied having any fever, chills, or other constitutional symptoms. On examination, she was pregbancy no apparent distress and had normal vital signs. Her sclera were anicteric. Her skin showed numerous symmetric, Erythema multiforme in pregnancy, erythematous, urticarial plaques and papules distributed over her axillae, abdomen, upper legs, breasts, and back, sparing Erythema multiforme in pregnancy labia and face see accompanying figure. There was no crust, scale, or discharge from the rash. The correct answer is E: PUPPP, also known as polymorphic eruption of pregnancy, is a common gestational skin condition affecting one in pregnancies. It is characterized by pruritic, urticarial papules that suddenly appear late ln the third trimester, usually on abdominal Aqua teen hunger force quizzes. The lesions then may spread symmetrically Eryfhema the next Erythema multiforme in pregnancy days to include the buttocks, proximal arms, and thighs, im they often coalesce into plaques. The morphology of the lesions may pregnzncy from erythematous, edematous papules and plaques to vesicles or target-like lesions. Treatment of PUPPP is supportive and includes symptomatic relief of pruritus, including oral antihistamines, topical antipruritic agents, and, in severe cases, systemic corticosteroids. Patients should be educated that the condition is self-limited and no adverse consequences to the Erythema multiforme in pregnancy have been noted. The mean duration of the eruption is six weeks,...

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Erythema Multiforme, EM is an uncommon, acute inflammatory disease of the skin and mucous membranes characterized by ulcerations caused by hypersensitivity to drugs, microbial agents or other allergens. An EM outbreak can result in more severe forms of EM involving the skin, and there are several types of EM manifestations. A hemorrhagic crust on the lip is a pathognomonic sign of this disease. Target lesions may or may not be present in EM cases. When target lesions are not present on the skin, it is very difficult to make a differential diagnosis of EM. Herpes associated erythema multiforme HAEM is an uncommon lesion caused by herpes simplex virus infection. A case of severe painful lesions in a year-old pregnant patient with HAEM is presented here. HAEM is rarely found in pregnant women, and its clinical findings, diagnosis and treatment have not previously been reported. EM is considered to be a hypersensitivity reaction associated with certain infections or medications 1 , 2. EM is characterized by skin target lesions, and occasionally EM may only involve the oral cavity. The immunopathogenesis of HAEM is consistent with a delayed hypersensitivity reaction. Systemic corticosteroids are considered to be the first-line treatment modality for EM 6. However, HAEM is very uncommon in pregnant women. Challenges in diagnosis and treatment of a severe case of HAEM are discussed in this paper. A year-old female patient presented to the Oral Medicine clinic at the Faculty of Dentistry, Chulalongkorn University complaining of extensive painful ulcers and a hemorrhagic crust on her lips. She reported having experienced pain due to oral ulcers on her lips and buccal mucosa and she said that she had been unable to eat any food for 1 month. She said she had drunk only water. Her medical history suggested that a year before, during...

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Visit our main website at www. Erythema multiforme is a skin condition often associated with an overreaction to an infection usually herpes simplex or medication. It can affect skin throughout the body. Erythema multiforme has 2 forms:. Erythema multiforme is an overreaction of the immune system to a certain trigger. Some erythema multiforme is associated with an infection or certain medications, though the exact trigger may not be known half the time. It is not clear why some people have this reaction. Symptoms can vary from mild to severe. Both erythema multiforme minor and major cause skin lesions that:. You will be asked about your symptoms and medical history. A physical exam will be done. You may be referred to a doctor who specializes in skin problems dermatologist. Most cases can be diagnosed based on your medical history and skin exam. The target lesions are usually a key for diagnosis. However, the skin lesions may not be typical and a sample of the skin may be taken. The skin sample is examined under a microscope to look for findings of erythema multiforme. Erythema multiforme will usually go away on its own in weeks. Mild forms usually will not need treatment. Treatment may be needed to treat an underlying infection. This may include antiviral, antibiotic, or antifungal medications. If the erythema multiforme is related to a current medication, your doctor will work with you to stop the medication and find a replacement if needed. Moist compresses and medications may help relieve discomfort from lesions. Medication options may include:. Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior...

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Erythema multiforme in pregnancy

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Jul 12, - Cite this article: Zofkie AC, Nelson DB () Report of Chronic Erythema Multiforme Major in Pregnancy. Med J Obstet Gynecol 4(3): Nov 15, - PUPPP, also known as polymorphic eruption of pregnancy, is a common Erythema multiforme is a hypersensitivity eruption characterized by. Jun 26, - The dermatoses of pregnancy are a heterogeneous group of pruritic ○Erythema multiforme – Erythema multiforme, whether due to.

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