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Review
. 2017 Mar 24;3(1):30-36.
doi: 10.1016/j.ijwd.2017.02.019. eCollection 2017 Mar.

Dermatologic conditions in patients of color who are pregnant

C Jeon  1 , O Agbai  2 , D Butler  3 , J Murase  1   4
Affiliations
Review

Dermatologic conditions in patients of color who are pregnant

C Jeon et al. Int J Womens Dermatol. .

Abstract

Certain dermatoses that present during pregnancy have a predilection for populations with skin of color (SOC). Additionally, certain systemic diseases such as systemic lupus erythematosus tend to be more aggressive during pregnancy and confer worse prognoses in women with SOC. The purpose of this review is to highlight the unique implications of selected diseases during pregnancy as it relates to SOC. Dermatologists should be vigilant for the unique clinical variations of dermatological conditions in patients of color who are pregnant to ensure correct diagnoses and optimize treatment outcomes.

Keywords: dermatoses; pregnancy; skin of color.

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Figures

Fig. 1
Fig. 1
A 35-year-old Chinese female who experienced polymorphic eruption of pregnancy that presented with striae on her thighs postpartum, which was likely the result of the pregnancy and the use of topical steroid medications.
Fig. 2
Fig. 2
A 36-year-old Korean female who presented with polymorphic eruption of pregnancy in the third trimester with lesions that were focused on the abdominal striae and the lateral thighs.
Fig. 3
Fig. 3
A 34-year-old Indian woman with chronic plaque psoriasis who begins to experience a flare of her psoriasis after the birth of her child. (A) Plaques that were clear during the pregnancy have recurred on her leg. (B) Thin psoriasis form plaques that begin to form on the right upper back after her back had been clear for the majority of the pregnancy. The areas that were clear during the pregnancy are present as faint patches of postinflammatory pigmentation that cover the back.
Fig. 4
Fig. 4
A 30-year-old Chinese patient who presented with atopic eruption of pregnancy (AEP) during the first trimester of her pregnancy. Note that the dark hyperpigmentation masks the hue of erythema that is present on the nipples, which are some of the most vulnerable areas of the body to AEP.
Fig. 5
Fig. 5
A 32-year-old Hispanic female at 9 weeks of gestation (A) and again at 18 weeks of gestation (B) with systemic cutaneous lupus erythematosus. The pregnancy resulted in a prominent flaring of her disease.
See this image and copyright information in PMC

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