What are the 4 causes of 'pregnancy pruritus/pregnancy skin pruritus'?

 

Unexpected problems tend to occur during pregnancy, but many suffer from itching and rash symptoms. Itching or rash that occurs mainly on the hands and feet may be gestational skin pruritus or gestational pruritus. These often improve after childbirth, and can be treated with external or oral medicines. This time, we will explain what kind of diseases, symptoms, causes, treatment methods, etc.

What is pruritus of pregnancy and pruritus of pregnancy?

What disease is called gestational skin pruritus?

Gestational pruritus of the skin is a disease characterized by itching all over the body that occurs in early pregnancy. When the body is itchy and scratched, the scratch may cause bleeding or redness. You can also cause pigmentation by scratching the same spot multiple times. Unlike gestational itch of a similar disease, it is accompanied by itching, but there are no signs of a rash.

Pruritus dermatosis of pregnancy tends to intensify itching of the hands and feet at night, and may be accompanied by a symptom called cholestasis during and late pregnancy. If you have itching enough to be unable to sleep at night, there is a possibility of pregnancy itch, so a detailed examination is necessary to investigate the cause. It is a gestational skin pruritus characterized by itching all over the body, but in most cases it improves after childbirth.

What disease is called gestational pruritus?

Gestational pruritus is a disease in which a rash accompanied by itching appears on the hands, feet, and abdomen during pregnancy. In the first 3 to 4 months of pregnancy, it is easy to appear on the hands or legs, and the symptoms subside within a few days after the onset. It is common in people who have been pregnant after a second pregnancy and tends to develop every time she becomes pregnant. It is also a characteristic of pregnancy itch that it is difficult to get rid of once it develops.

In addition, in the case of multiple pregnancies such as twins as the first pregnancy, strong itching or rash may appear in the late pregnancy, not only on the hands and feet, but also on the belly. In most cases, it will go away within a few days after giving birth. Unlike gestational skin pruritus, it is characterized by a rash. If it occurs in late pregnancy, it is classified as measles-like papule (PUPPP), which is itchy due to pregnancy. In general, PUPPP is known to occur mainly in the second half of pregnancy or is more likely to occur in first-time mothers, and it tends to be difficult to recur in the second or subsequent pregnancies. Also, symptoms subside within a few days of onset. It occurs in about 1 in 160 to 300 people, but the exact cause is unknown.

Pregnancy skin pruritus, symptoms of pregnancy pruritus

What are the symptoms of gestational skin pruritus?

Pregnancy skin pruritus is characterized by itching all over the body in the early stages of pregnancy. As your gestational weeks progress, your belly grows, causing your skin to tighten and your belly to itch. If the bile fluid in the liver is the cause, strong itching appears on the palms and soles of the feet and gradually spreads throughout the body. It is characterized by redness or bleeding when the affected area is scratched, or pigmentation caused by scratching the same area multiple times.

What are the symptoms of gestational pruritus?

Pregnancy itch has symptoms similar to hives. It is characterized by a swollen, reddish, itchy rash that appears on the hands, feet, and sometimes on the belly and back. Compared to skin pruritus of pregnancy, it is characterized by strong itching, and some people find it difficult to sleep at night. While scratching the affected area, a hard, reddish-brown rash develops, making it difficult to heal.

Causes of itchy skin during pregnancy

Please tell us the causes of gestational skin pruritus and gestational itching.

The exact cause of gestational skin pruritus and gestational pruritus is unknown. However, it is pointed out that the following factors may be related to the outbreak.

• lack of vitamin B
• changes in hormonal balance
• atopic dermatitis
• Decreased liver function due to pregnancy

During pregnancy, female hormones are changing compared to before pregnancy, and the skin stretches due to the increase in the number of weeks as the number of weeks progresses. During pregnancy, the constitution also changes easily, so make sure you do not tolerate itching.

Examination subjects for gestational skin pruritus and gestational pruritus

If I have symptoms such as itching or rash during pregnancy, which department should I see?

If you have symptoms such as itching or rash, consult a dermatologist or obstetrician. When you visit a dermatologist, it will be easier if you tell them that you are pregnant in advance. There are restrictions on the drugs that can be used during pregnancy, so be careful with the prescribed oral and external drugs.

Tests performed for gestational skin pruritus and gestational pruritus

What tests are done for gestational skin pruritus or gestational pruritus?

If you experience symptoms such as itching or rash during pregnancy, the examination and questionnaire will focus on the number of weeks of pregnancy, the appearance of eczema and how it spreads throughout the body. From the results, it will often be diagnosed visually.

Skin pruritus of pregnancy, sex difference and age difference of pregnancy itch

Is there a sex difference or age difference in gestational pruritus or gestational pruritus?

Gestational pruritus and gestational pruritus are a disease that can occur in all pregnant women. There is no age difference, and 3 to 5% of all pregnant women show symptoms such as itching or rash. Pregnancy-related pruritic urticaria papules (PUPPP) are more rare, affecting about 1 in 300 people.

Methods of treating pruritus of pregnancy and pruritus of pregnancy

What is the treatment for gestational skin pruritus or gestational pruritus?

For gestational skin pruritus or gestational pruritus, treatment is mainly used to suppress symptoms by using oral or external drugs. Each treatment is explained.

How to treat gestational skin pruritus

What is the specific treatment for gestational skin pruritus?

For gestational skin pruritus, an external moisturizer is used depending on the gestational age and symptoms. If you have eczema by scratching the affected area or do not get enough sleep time, use external steroids, anti-allergic drugs, and antihistamines to suppress symptoms. If you have dry skin, first apply a moisturizer external therapy. If you do not have dry skin or have dry skin, if you do not see a sufficient effect with external therapy with a moisturizer, use an external steroid or internal copy of an antiallergic or antihistamine to suppress the symptoms.

How to treat itching of pregnancy

What is the specific treatment for gestational pruritus?

In the treatment of gestational pruritus, steroid external drugs are mainly used. Depending on the number of weeks of pregnancy and symptoms, you may be given an antihistamine or antiallergic medication. When itching is severe and it is difficult to sleep at night, a steroid that hardly crosses the placenta, such as an antihistamine or prednisolone, is administered orally to relieve symptoms. It is important to use external medicines from an early stage for pruritus during pregnancy.

Precautions to be taken when using the drug

Are there any precautions to take when using the drug during pregnancy?

During pregnancy, it is important to avoid self-judgment use and consult with your doctor or pharmacist, as the ingredients of the medicine may affect the fetus. However, if you do not use the medicine because you are afraid of the effects of the medicine on the fetus, symptoms may worsen, such as scratching without itching, and eczema accompanied by a wrinkled exudate. Therefore, after consulting a doctor, it is important to properly use steroids externally or internally as instructed. By following the dosage and using it properly, symptoms can be controlled. Be sure to consult with a pharmacist or registered seller even when using over-the-counter drugs.

organize

Gestational pruritus or gestational pruritus is a skin condition that affects 3-5% of pregnant women. Although the cause is not clearly known, it is reported that it is related to female hormones, vitamin B, and atopic dermatitis. There are many minor troubles during pregnancy, and stress is not good for the fetus. When itching occurs, use an oral or external medicine to control the symptoms. It is important to consult with your obstetrician-gynecologist if you have any concerns during pregnancy with many worries.