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Comprehensive Study For Skin Diseases In Primigravid And Multigravid Pregnant Women

Abstract

Asma I Alajeel.

In gestation, many changes may occur for the pregnant including hormonal, immunological and vascular changes, these changes affect the skin during gestational period and the effect may persist even after pregnancy. The study included 200 pregnant women in the mean ages of (29.89 year). The pregnant women were divided into two groups; primigravid group which included 70 pregnant woman (35% of pregnants) and multigravid group which included 130 pregnant woman (65% of pregnants). During the study period, 136 pregnant women are presented in the 3rd trimester (68%), 54 pregnant women are presented in 2nd trimester (27%) and the other (5%) are presented in first trimester. The dermatological changes and diseases that were diagnosed in this study were divided into three classes: physiological changes and diseases which were seen in 90% of pregnant women, coincidental and preexisting diseases which were seen in 74% of pregnant women and specific dermatoses of pregnancy which were seen in 14% of pregnant women. The physiological skin changes that were seen in pregnant women in this study are Striae Gravidarum (70% of cases), Melasma (38%), Telogen Effluvium (34%), Secondary Areola (22%), Montgomery Tubercle (20%), Linea Nigera (10%), Pitting Oedema (7%), Abdominal Wall Oedema (5%). Striae was the most common physiological change affected upon (70%) of pregnant women and the affect was mainly on multigravid group. The coincidental and preexisting diseases that were seen in pregnant women in this study are divided into inflammatory (mainly Hand Eczema in a percent of 16%) and infections (mainly Vulvovaginal candidiasis in a percent of 25%). The specific dermatoses that were seen in this study are Atopic Eruption (6% of cases), PUPPP (4%), Herpes Gestation (2%) and Ihc (1%).In gestation, many changes may occur for the pregnant including hormonal, immunological and vascular changes, these changes affect the skin during gestational period and the effect may persist even after pregnancy. The study included 200 pregnant women in the mean ages of (29.89 year). The pregnant women were divided into two groups; primigravid group which included 70 pregnant woman (35% of pregnants) and multigravid group which included 130 pregnant woman (65% of pregnants). During the study period, 136 pregnant women are presented in the 3rd trimester (68%), 54 pregnant women are presented in 2nd trimester (27%) and the other (5%) are presented in first trimester. The dermatological changes and diseases that were diagnosed in this study were divided into three classes: physiological changes and diseases which were seen in 90% of pregnant women, coincidental and preexisting diseases which were seen in 74% of pregnant women and specific dermatoses of pregnancy which were seen in 14% of pregnant women. The physiological skin changes that were seen in pregnant women in this study are Striae Gravidarum (70% of cases), Melasma (38%), Telogen Effluvium (34%), Secondary Areola (22%), Montgomery Tubercle (20%), Linea Nigera (10%), Pitting Oedema (7%), Abdominal Wall Oedema (5%). Striae was the most common physiological change affected upon (70%) of pregnant women and the affect was mainly on multigravid group. The coincidental and preexisting diseases that were seen in pregnant women in this study are divided into inflammatory (mainly Hand Eczema in a percent of 16%) and infections (mainly Vulvovaginal candidiasis in a percent of 25%). The specific dermatoses that were seen in this study are Atopic Eruption (6% of cases), PUPPP (4%), Herpes Gestation (2%) and Ihc (1%).

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