Impetigo Herpetiformis

Aka: Impetigo Herpetiformis

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II. Pathophysiology

  1. Pustular Psoriasis variant

III. Symptoms

  1. Nausea or Vomiting
  2. Diarrhea
  3. Fever and chills
  4. No Pruritus

IV. Signs

  1. Pustular Psoriasis on extremities
  2. Lymphadenopathy

V. Management

  1. Increased antepartum observation
  2. Prednisone 20-60 mg with taper
  3. Antibiotics as indicated for secondary Skin Infections

VI. Complications

  1. Secondary Bacterial Infection (may be systemic)
  2. Hyperparathyroidism
  3. Adverse fetal outcomes

VII. Course

  1. Onset in second half of pregnancy
  2. Resolves after delivery
  3. May recur with future pregnancies

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