Shrikhande Laxmi A, Kadu Priya P
Shrikhande Hospital, Nagpur, Maharashtra India.
J Obstet Gynaecol India. 2024 Feb;74(1):12-21. doi: 10.1007/s13224-024-01957-x. Epub 2024 Feb 15.
Pruritus is a commonly described symptom during pregnancy. Despite its high prevalence, it is often considered trivial but causes significant patient discomfort. It is important to assess and investigate the patient thoroughly as some conditions have a detrimental outcome for both mother and fetus. There is extensive literature on pruritus due to pregnancy-specific dermatoses, however, the evaluation of pruritus merits a broader approach. Various other conditions such as certain infections, systemic diseases, and pre-existing dermatological conditions should also be considered. Awareness of these conditions in obstetricians will also ensure adequate treatment and timely referral, if necessary. The purpose of this article is to describe the etiology, clinical features, diagnostic approach, and management of pruritus in pregnancy.
瘙痒是孕期常见的症状。尽管其发生率很高,但通常被认为无关紧要,却会给患者带来极大不适。对患者进行全面评估和检查很重要,因为某些情况对母婴都会产生不良后果。关于妊娠特异性皮肤病引起的瘙痒已有大量文献,但对瘙痒的评估需要更广泛的方法。还应考虑其他各种情况,如某些感染、全身性疾病和既往存在的皮肤病。产科医生了解这些情况也将确保在必要时进行充分治疗和及时转诊。本文旨在描述孕期瘙痒的病因、临床特征、诊断方法和管理。