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Atopic dermatitis in pregnancy: current status and challenges.
MedLine Citation:
PMID:  22112526     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Atopic dermatitis (AD) is the most common pregnancy dermatosis. This evidence-based review article provides an evaluation of AD in gestation. Our literature search revealed 4 epidemiologic studies on AD in pregnancy, and a total of 55 articles that provide the basis for this review. The limitations of epidemiologic studies included herein are critically reviewed. The management of AD in gestation is reviewed with an emphasis on drug safety. Further studies are required to determine whether it is the intrinsic ("nonallergic" or "atopiform dermatitis") and/or extrinsic (IgE-associated) AD that is affected by pregnancy, and to establish the postpartum prognosis of "new atopic dermatitis" (AD presenting for the first time in pregnancy). A revision of the diagnostic criteria will allow a more accurate confirmation of the prevalence of AD, and especially "new atopic dermatitis," in pregnancy as well as differentiation of AD from specific dermatoses of pregnancy, such as prurigo and pruritic folliculitis. Addressing the above issues and unraveling the etiopathogenesis of AD in pregnancy will help clarify a suggested overlap with the above specific dermatoses. Target Audience: Obstetricians & Gynecologists and Family Physicians Learning Objectives: After the completing the CME activity, physicians should be better able to correctly diagnose and safely treat atopic dermatitis in pregnancy; differentiate atopic dermatitis from other pregnancy dermatoses; and appraise the controversies and challenges in the field.
Authors:
Ioannis Koutroulis; John Papoutsis; George Kroumpouzos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrical & gynecological survey     Volume:  66     ISSN:  1533-9866     ISO Abbreviation:  Obstet Gynecol Surv     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401007     Medline TA:  Obstet Gynecol Surv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  654-63     Citation Subset:  IM    
Affiliation:
*Senior Resident, Department of Pediatrics, Flushing Hospital Medical Center, New York, NY; †Professor, School of Health Units and Welfare Administration, TEI of Antikalamos, Messinia, Greece; and ‡Clinical Assistant Professor, Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI.
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