Skip to main content

A 25-Year-Old Woman with the Pruritic and Bullous Lesions on the Skin Developed in the Third Trimester of Pregnancy 3 Days Before the Delivery

  • Chapter
  • First Online:
Clinical Cases in Exfoliative Dermatitis

Part of the book series: Clinical Cases in Dermatology ((CLIDADE))

  • 132 Accesses

Abstract

Here we present a 25-year-old woman with pruritic and bullous lesions on the skin developed 5 days after the delivery. Histopathologic findings in biopsy of urticarial lesions were characterized by edema of the epidermis, upper and mid-dermis with a perivascular infiltrate by lymphocytes, histiocytes, and eosinophils. Direct immunofluorescence showed C3 and IgG deposition at the basement membrane zone, and enzyme-linked immunosorbent assay (ELISA) showed circulating IgG autoantibodies against BP180. This disorder can mimic polymorphic eruption of pregnancy, herpes associated erythema multiforme, intrahepatic cholestasis of pregnancy (ICP), atopic eruption of pregnancy (AEP) and should be confirmed by histological method, direct and indirect immunofluorescence, or ELISA.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Sävervall C, Sand FL, Thomsen SF. Pemphigoid gestationis: current perspectives. Clin Cosmet Investig Dermatol. 2017;10:441–9.

    Article  Google Scholar 

  2. Sadik CD, Lima AL, Zillikens D. Pemphigoid gestationis: towards a better understanding of the etiopathogenesis. Clin Dermatol. 2016;34(3):378–82. https://doi.org/10.1016/j.clindermatol.2016.02.01.

    Article  PubMed  Google Scholar 

  3. Sadik CD, Pas HH, Bohlmann MK, Mousavi S, Benoit S, Sárdy M, Terra JB, Lima AL, Hammers CM, van Beek N, Bangert C, Zillikens D, Schmidt E. Value of BIOCHIP technology in the serological diagnosis of pemphigoid gestationis. Acta Derm Venereol. 2017;97(1):128–30. https://doi.org/10.2340/00015555-2460.

    Article  CAS  PubMed  Google Scholar 

  4. Brandao P, Sousa-Faria B, Marinho C, Vieira-Enes P, Melo A, Mota L. Polymorphic eruption of pregnancy: review of literature. J Obstet Gynaecol. 2017;37(2):137–40. https://doi.org/10.1080/01443615.2016.1225019.

    Article  CAS  PubMed  Google Scholar 

  5. Sirikudta W, Silpa-archa N. Polymorphic eruption of pregnancy presented with targetoid lesions: a report of two cases. Case Rep Dermatol. 2013;5:138–43. https://doi.org/10.1159/000351259.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Palmer KR, Xiaohua L, Mol BW. Management of intrahepatic cholestasis in pregnancy. 2019. www.thelancet.com. vol. 393, March 2.

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Olisova, O., Teplyuk, N.P., Lepekhova, A.A., Varshavsky, V. (2022). A 25-Year-Old Woman with the Pruritic and Bullous Lesions on the Skin Developed in the Third Trimester of Pregnancy 3 Days Before the Delivery. In: Lotti, T.M., Wollina, U., Olisova, O., Jafferany, M. (eds) Clinical Cases in Exfoliative Dermatitis. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-031-08466-9_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-08466-9_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08465-2

  • Online ISBN: 978-3-031-08466-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics