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Dermatological Disorders

What percentage of women are diagnosed with a pregnancy-specific dermatosis?

a. 5%

b. 10%

c. 25%

d. 50%

What is the most common type of rash seen in cholestasis of pregnancy?

a. Papules

b. Plaques

c. Vesicles

d. There are generally no skin lesions

What part of the body is usually spared in cases of pemphigoid gestationis?

a. Face

b. Back

c. Arms

d. Abdomen

What is the etiology of pemphigoid gestationis?

a. Coxsackie virus

b. Herpes simplex virus

c. Maternal IgE antibodies targeting collagen IV

d. Maternal IgG antibodies targeting collagen XVII

A 25-year-old G1P0 at 24 weeks’ gestation is diagnosed with pemphigoid gestationis. Two photographs are provided below. How do you counsel her?

Reproduced with permission from Ehlers K, Santiago-Munoz P, Hoffman BL: Pemphigoid gestationis (update in) Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Williams Obstetrics, 24th ed. New York, McGraw-Hill, 2014. Available at: http://accessmedicine.mhmedical.com/MultimediaPlayer.aspx?MultimediaID=7918794&SearchTerm=pemphigoid%20gestationis.

Reproduced with permission from Ehlers K, Santiago-Munoz P, Hoffman BL: Pemphigoid gestationis (update in) Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Williams Obstetrics, 24th ed. New York, McGraw-Hill, 2014. Available at: http://accessmedicine.mhmedical.com/MultimediaPlayer.aspx?MultimediaID=7918794&SearchTerm=pemphigoid%20gestationis.

a. This won’t happen in subsequent pregnancies.

b. Once the pregnancy is over, she will be flare-free.

c. The newborn is never affected with the same skin lesions.

d. Blistering is associated with preterm birth and intrauterine growth restriction.

Which of the following ...

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