Dermatosis and itching in pregnancy: when is it normal and when to worry?
Itching in pregnancy should not be overlooked: in fact, there are some dermatoses frequently associated with the development of itching which must be known and evaluated by the specialist
Types of harmless dermatoses
A first group is represented by the polymorphic eruptions of pregnancy: they are frequent in the third trimester and in the postpartum period. Usually localized to the trunk, self-healing, it involves only mild local dermatological therapies.
The prognosis is also excellent for the child, as it is not harmful.
The group of atopic eruptions of the eczematous type is always not harmful to the fetus, quite common, except for the problem of the ever-present risk in the newborn to later show lesions related to atopy.
Local dermatological treatments should generally be used.
When do we talk about cholestasis of pregnancy?
The case of intrahepatic cholestasis of the pregnant woman is different, which begins in the third trimester with a very intense and sudden, generalized itch.
Serum levels of conjugated bilirubin will confirm this.
In this case the patient should be monitored very well for fetal (prematurity, distress) and maternal risks.
It still happens to see the C.D. Herpes gestationis, which is in fact a pemphigoid, and therefore an autoimmune disease, with the characteristic development of periumbilical vesiculo-papules.
Typical of the third trimester, it was once considered completely benign, and is currently associated with possible neonatal lesions, as well as intrauterine growth retardation.
Histological examination confirms the diagnosis. To be treated with systemic drugs and monitoring by the specialist.
Itching in pregnancy: frequent and not worrying disorder
But most of the time it is still trivial itching, perhaps associated with dermatitis reactions, due to the use of creams or detergents.
Many others are possible causes, more or less rare: a specialist visit will be able to clarify any doubts.
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