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Prurigo, pruritic folliculitis, and atopic eruption of pregnancy: Facts and controversies

机译:瘙痒,瘙痒性毛囊炎和妊娠异位性发作:事实与争议

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Prurigo (PP) and pruritic folliculitis of pregnancy (PFP) are poorly characterized entities. Traditionally classified under specific dermatoses of pregnancy, they were reclassified under a new umbrella entity, atopic eruption of pregnancy (AEP), which also includes atopic dermatitis (AD) that can worsen or present for the first time in pregnancy. Still, several aspects of AEP have not been adequately elucidated. It needs to be clarified whether it is the intrinsic ("nonallergic" or "atopiform dermatitis") or extrinsic (immunoglobulin E associated) AD that is affected by pregnancy. Future studies need to examine the postpartum prognosis of AD that develops for the first time during gestation. A revision of diagnostic criteria of AEP will allow a more accurate estimate of its prevalence, as well as clarification of the relationship between AD and specific dermatoses, such as PP and PFP. In this context, this review discusses the history, epidemiologic data, clinicopathologic features, and management of these entities. (C) 2016 Elsevier Inc. All rights reserved.
机译:瘙痒症(PP)和妊娠瘙痒性毛囊炎(PFP)是特征不明确的实体。传统上将其归类为特定的妊娠性皮肤病,然后将它们重新归类为新的总括性实体,即妊娠特应性皮疹(AEP),其中还包括特应性皮炎(AD),它可能在妊娠中首次恶化或出现。但是,AEP的几个方面尚未得到充分阐明。需要弄清楚是受怀孕影响的是内源性(“非过敏性”或“非典型性皮炎”)还是外源性(与免疫球蛋白E相关)。未来的研究需要检查在妊娠期间首次出现的AD的产后预后。修订AEP的诊断标准将可以更准确地估计其发生率,并阐明AD与特定皮肤病(如PP和PFP)之间的关系。在这种情况下,本综述讨论了这些实体的历史,流行病学数据,临床病理特征和管理。 (C)2016 Elsevier Inc.保留所有权利。

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