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ORIGINAL ARTICLE
Year : 2020  |  Volume : 33  |  Issue : 1  |  Page : 41-45

Dermatological changes and diseases in Iraqi pregnant women


1 AlMustansiriyah Primary Health Care, Training Centre of Family Medicine, Iraqi Ministry of Health, University of AlNahrain, Baghdad, Iraq
2 Department of Medicine, Section of Dermatology and Venereology, College of Medicine, University of AlNahrain, Baghdad, Iraq

Correspondence Address:
Nadheer Ahmed Matloob
Department of Medicine, Section of Dermatology and Venereology, College of Medicine, University of Al-Nahrain, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IRJCM.IRJCM_10_20

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Background: Pregnancy, childbirth, and puerperium are associated with profound physiological endocrine upheavals. The physiological events of pregnancy and its resolution can also modify a number of concomitant dermatoses, and there are also some pathological skin conditions that are virtually pregnancy specific. Objective: This study was an attempt to find the most common dermatological problems that are faced by the Iraqi women during pregnancy. Patients and Methods: A convenient sample of 300 pregnant women was included in this cross-sectional study which was conducted in the consultation clinic of dermatology and the consultation clinic of obstetrics and gynecology of Al-Kadhymia Teaching Hospital between February 1, 2012, and the end of June 2012. Clinical diagnosis was based on history and clinical examination, and appropriate investigation including biopsy was done accordingly. Results: A total of 300 pregnant women with ages ranged from 14 to 44 years, with a mean age of 29 ± 15 years. Primi/multigravida ratio was 2:3 with gestational age between 2nd and 9th month. Various skin problems were seen among these cases, those with specific dermatosis account for 22.4% of the total, while those with nonspecific diseases constitute 77.6% of the cases. The major ones were infections and infestations (27.3%) followed by eczema and dermatitis (19.3%). Most common physiological skin changes were striae gravidarum which was seen in 78% of cases, followed by melasma in 49% of cases. Conclusions: The study showed that the most common skin changes and diseases during pregnancy include (1) pruritus gravidarum (more common started in primigravida and in the third trimester); (2) scabies (may be due to endemic of this disease) and superficial fungal infection; (3) striae gravidarum (more common in multigravida in the third trimester); followed by melasma (more common multigravida in the second trimester).


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