Which pruritic dermatologic disorders in pregnancy increase fetal morbidity and mortality?
Pruritis gravidarum: generalized severely pruritic excoriations.(Tx with antipruritics and cholestyramine)
Impetigo herpetiformis(pustular psoriasis of pregnancy)- pustules with minimal itching on genitalia, medial thighs, umbilicus, breasts and axillae. Can cause maternal sepsis. (Tx: systemic corticosteroids and ABX for secondary infxn)
Herpes gestationis: severely pruritic erythematous papules, vesicles, bullae on abdomen and extremities. Causes growth restriction and prematurity. (Tx mild case with topical steroids+antihistamines, More severe- tx with systemic corticosteroids.