RESUMO
Objective: To document pregnancy-related dermatoses
Methods: A hospital-based observational study was conducted in the dermatology outpatient department of a tertiary care institute. A total of 350 pregnant females were included in the study after taking informed consent. Detailed history including demographic data, chief complaints related to skin, presence of itching, skin lesions, onset in relation to duration of pregnancy, jaundice, vaginal discharge, past or family history of similar lesions, exacerbating factors, associated medical or skin disorders etc. was elicited and recorded. Relevant systemic examination and appropriate investigations were done to confirm diagnosis if required. In all cases with history of pruritus related to specific disorders of pregnancy, liver function tests were done. Data was analyzed using SPSS ver. 20
Results: Most common physiological skin changes were pigmentary [98%] followed by striae distensae [76%], glandular changes [15.4%] and vascular [10%]. Nail changes were observed in 7 [2%] females. 38 [11%] patients had pregnancy-induced dermatoses. Atopic eczema of pregnancy [49.7%] was the most common condition i.e. 19 patients out of 38 which includes eczema [31.5%], prurigo [13%] and pruritic folliculitis [3.1%]. Followed by polymorphic eruptions [5.2%] was the most common condition followed by atopic eruptions [19.1%],herpes gestationis and intrahepatic cholestasis were observed in one [2.6%] and two [5.3%] females, respectively
Conclusion: Pregnant women are prone to suffer from a wide range of dermatological problems apart from the specific dermatoses of pregnancy. These pruritic dermatoses are unique to the gravid state. A detailed history and awareness of clinical presentation facilitate confirmation of the diagnosis and will direct the most appropriate laboratory evaluation in an effort to minimize maternal and fetal morbidity. In addition, monitoring of liver function deserves special consideration
Assuntos
Adulto , Distribuição por Idade , Idoso , Estudos de Coortes , Dermatite Alérgica de Contato/diagnóstico , Eczema/diagnóstico , Dermatoses da Mão/diagnóstico , Humanos , Incidência , Pessoa de Meia-Idade , Testes do Emplastro , Prognóstico , Sensibilidade e Especificidade , Índice de Gravidade de Doença , Distribuição por SexoRESUMO
Double Orifice Mitral Valve (DOMV) is a rare congenital abnormality. Reports of 4 patients with DOMV are presented. As associated anomalies, one had ostium primum atrial septal defect (ASD). Second one had Ebstein's anomaly. Third one had grade IV tricuspid regurgitation, thickened tricuspid valve and right atrial mass. Fourth one had sinus venosus ASD. Echocardiography is the gold standard investigation. Surgical treatment depends upon the mitral valve function and associated anomalies.