A Case of Impetigo Herpetiformis during Pregnancy.

Lee, Seong Pil; Hong, Seong Jin; Oh, Su Mi; Kim, Heung Gon; Cha, Seung Hun

Case Report

Korean Journal of Obstetrics & Gynecology 1999;42(8):1864-1868.
Published online January 1, 2001.

A Case of Impetigo Herpetiformis during Pregnancy.

Seong Pil Lee, Seong Jin Hong, Su Mi Oh, Heung Gon Kim, Seung Hun Cha

Abstract

Impetigo herpetiformis is a rare pustular eruption that may be seen in late pregnancy. It is associated with severe maternal and fetal complications in case of misdiagnosis and delayed treatment. The patient was a 25-years-old multigravida with psoriasis in her past history. At 20weeks gestation, she had been developed erythematous scaly annular patchs with papules and pustules on inner thigh. At 37weeks' gestation, the patient was suffered from a severely pruritic pustular rash with fever and leukocytosis. The skin of the affected areas was biopsied and showed intraepidermal pustular abscess with a neutrophilic infiltrate. Treatment commenced with intravenous fluids, antibiotics, systemic prednisone, steroid creams, and phototherapy(UVB) under the careful fetal well being monitoring. Cesarean section was done due to fetal distress, and a normal healthy male infant was delivered, following which the patient's condition improved rapidly.

Key Words: Impetigo Herpetiformis, Pregnancy