RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57675023
T1 Chapter 76. Pemphigoid Gestationis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57675023
RD 2024/09/19
AB A  37-year-old  pregnant  woman  presented  to  the  hospital  with  severe  preeclampsia.  After  all  medical  methods  were  tried  and  failed  to  control  her  severe  preeclampsia,  a  joint  decision  was  made  to  induce  labor  to  save  the  life  of  the  mother.  The  pregnancy  was  too  early  for  the  fetus  to  survive.  The  following  day  she  began  to  develop  the  lesions  seen  in  Figures  76-1,  76-2,  76-3,  and  76-4.  A  diagnosis  of  pemphigoid  gestationis  was  made.  Her  past  history  includes  antiphospholipid  syndrome  with  multiple  pregnancy  losses  but  two  live  children.  This  was  her  third  episode  of  pemphigoid  gestationis.  A  photograph  of  her  previous  episode  is  included  to  see  how  similar  the  periumbilical  bulla  was  to  her  current  episode  of  pemphigoid  gestationis.  A  new  biopsy  was  not  performed  given  that  her  previous  biopsy  was  on  file  and  the  clinical  picture  was  consistent  with  a  recurrence  of  this  disease.  She  was  treated  with  oral  prednisone  and  began  to  improve  rapidly  (Figure  76-5).