Obstetric Dermatology

1. Front Matter

   Pages i-xv

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2. Endocrine and Immunologic Alterations During Pregnancy

   Pages 1-5

3. Hyperpigmentation and Melasma

   Pages 7-18

4. Hair and Nails

   Pages 19-24

5. Connective Tissue Physiologic Changes During Pregnancy

   Pages 25-31

6. Physiologic Vascular Changes During Pregnancy

   Pages 33-44

7. Physilogic Glandular Changes During Preagnancy

   Pages 45-48

8. Inflammatory Skin Conditions During Pregnancy

   Pages 49-61

9. Autoimmune Conditions During Pregnancy

   Pages 63-75

10. Tumors in Pregnancy

    Pages 77-89

11. Metabolic Diseases in Pregnancy

    Pages 91-95

12. Pruritus Gravidarum and Intrahepatic Cholestasis of Pregnancy

    Pages 97-109

13. Herpes (Pemphigoid) Gestationis

    Pages 111-133

14. Impetigo Herpetiformis

    Pages 135-142

15. Autoimmune Progesterone Dermatitis of Pregnancy

    Pages 143-146

16. Linear IgM Dermatosis of Pregnancy

    Pages 147-150

17. Prurigo of Pregnancy

    Pages 151-156

18. Pruritic Folliculitis of Pregnancy

    Pages 157-161

19. Pruritic Urticarial Papules and Plaques of Pregnancy

    Pages 163-175

20. Back Matter

    Pages 177-179

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There are many changes in the skin, hair, and nails during and after pregnancy. Patients are certainly aware that those changes are occurring, but few physicians and even fewer patients know how to predict the course of those changes. Pigmentary changes occur, but are they permanent? Can they be prevented or reversed? Hair may become thicker during pregnancy, only to fall out in the postpartum period. When will hair stop falling out? Will it grow back? What hormonal changes are occurring to produce these effects on the skin, hair, and nails? Will those hormonal changes affect other organs? Some cutaneous manifestations of pregnancy are common and recognized by most physicians. Abdominal striae, for example, are easily identified, but physicians have many questions about them. Why do they develop? Can they be prevented or treated? Other cutaneous manifestations of pregnancy are less common and recognized by few. For example, pruritic urticarial papules and plaques of pregnancy is a debilitating condition that is treatable once diagnosed. Even more important than the treatment, the knowledge imparted to a worried mother that her child will be fine and that the condition is se- limited is priceless; but the condition must first be recognized by the patient’s physician. All of these questions and conditions are addressed in this extraordinary book. Pigm- tary disorders are addressed in detail in Chap. 2.

• Impetigo
• Pruritus
• Urticaria
• dermatitis of pregnancy
• impetigo herpetiformis
• mother and embryo
• pruritic follicullitis
• urticario

From the reviews:

"This is a comprehensive review of normal as well as pathologic skin changes during pregnancy. … The book is written for gynecologists, dermatologists, and family practitioners, although it would also benefit anyone interested in the appearance of the skin during pregnancy. Residents in dermatology and gynecology would also find it useful. … It is very readable for a leisurely detailed perusal, but also quite accessible as a quick reference during a busy day of seeing patients." (Renata H. Mullen, Doody’s Review Service, April, 2009)

• Head, Department of Dermatology and Venereology Hadassah University Hospital, Faculty of Medicine, Hebrew University, Jerusalem, Israel

  Arieh Ingber