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. 2022 May 2;35(5):376-383.
doi: 10.20344/amp.13520. Epub 2022 May 2.

[Cutaneous Manifestations during Pregnancy]

[Article in Portuguese]
Ana Catarina Pinheiro  1 , Catarina Queirós  2 , António Sousa Alvim  1
Affiliations
Free article

[Cutaneous Manifestations during Pregnancy]

[Article in Portuguese]
Ana Catarina Pinheiro et al. Acta Med Port. .
Free article

Abstract
in English, Portuguese

Pregnancy is a period characterized by complex and significant skin changes, which can have a major impact on a woman's life. The cutaneous manifestations associated with this period are usually divided into physiological changes related with pregnancy, pre-existing dermatoses modified by pregnancy, and pregnancy-specific dermatoses, with the latter being potentially associated with significant fetal morbidity. The diagnosis of dermatoses of pregnancy can be challenging due to the variability in its clinical presentation; therefore, a complete and detailed clinical history and a thorough physical examination are essential. Primary care clinicians should be able to recognize these entities and provide some therapeutic strategies, as well as to refer patients whenever there is a risk to the mother and/ or to the fetus. A multidisciplinary team is essential in the evaluation of the most complex entities, and should include dermatologists, pediatricians, obstetricians and family physicians, so that both the mother's symptomatic relief and the minimization of fetal risk can be achieved quick and concurrently.

A gravidez é um período caracterizado por alterações cutâneas significativas e complexas, as quais podem ter um grande impacto na vida da mulher. As manifestações cutâneas associadas a este período dividem-se habitualmente em alterações fisiológicas relacionadas com a gravidez, dermatoses pré-existentes modificadas pela gravidez e dermatoses específicas da gravidez, podendo estas últimas estar associadas a morbidade fetal significativa. O diagnóstico das alterações cutâneas associadas à gravidez pode constituir um desafio devido à variabilidade na sua apresentação clínica, sendo fundamental uma história clínica completa e detalhada e um exame físico minucioso. Os clínicos dedicados aos cuidados de saúde primários devem saber reconhecer estas entidades e providenciar algumas estratégias terapêuticas, bem como referenciar as utentes sempre que exista risco para a mãe e/ou para o feto. Na abordagem das entidades mais complexas é fundamental uma equipa multidisciplinar, envolvendo dermatologistas, pediatras, obstetras e médicos de família, de forma a que se consiga simultânea e rapidamente o alívio sintomático da mãe e a minimização do risco fetal.

Keywords: Pregnancy Complications; Skin Diseases; Skin Manifestations.

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