RISK FACTORS & SIGNS & SYMPTOMS
RISK FACTORS
- Multiple pregnancy (polymorphic eruption)
- Personal/family history of atopic eczema (atopic eruption)
SIGNS & SYMPTOMS
Obstetric Cholestasis:
- Generalised pruritus without rash
- Predominantly affects palms and soles
- Worse at night
- Occurs in the third trimester
Polymorphic Eruption:
- Third-trimester onset
- Pruritic papules forming plaques
- Abdominal distribution with umbilical sparing
- Can spread to other areas
Primarily affects the first pregnancy
Atopic Eruption:
- First-trimester onset
- Itchy eczematous papular lesions
- Associated with an increased risk of atopic eczema in children
Pemphigoid gestationis:
- Pruritus precedes rash
- It can occur at any stage of pregnancy
- Eczematous papules and plaques
- Progresses to tense blisters
- Associated with preterm delivery and small for gestational age infants