["Red flags" during pregnancy-skin symptoms and their causes during pregnancy].

Dermatologie (Heidelberg, Germany) Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI:10.1007/s00105-024-05419-3
Ann-Sophie Bohne, Katharina Antonia Langen, Regine Gläser
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Abstract

Pregnancy is a special state for the expectant mother. Not only is a human being growing, but the pregnant woman's body is also constantly changing during the 40-week pregnancy. One organ that is frequently affected by these changes is the skin. As diagnosis and treatment during pregnancy can present treating physicians with particular challenges, it is important to know the relevant pregnancy dermatoses, to recognize and diagnose them reliably, and to observe red flags in order to protect the pregnant women and the unborn child. In this article, the most important changes in the skin of pregnant patients are explained and potential warning signs are presented. In addition to aspects of altered pigmentation, the influence of pregnancy on pre-existing inflammatory dermatoses and their improvement or worsening is also described. The occurrence of so-called specific pregnancy dermatoses over the course of pregnancy is also explained. Finally, the extent to which autoimmune diseases of the mother can also affect the unborn child and to what extent skin changes in the newborn can indicate a disease of the mother are described. The respective "red flags" are presented as leading symptoms and their relevance is discussed.

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[怀孕期间的 "红旗"--怀孕期间的皮肤症状及其原因]。
对于准妈妈来说,怀孕是一种特殊的状态。在怀孕 40 周的过程中,不仅人在成长,孕妇的身体也在不断发生变化。皮肤就是经常受到这些变化影响的器官之一。由于孕期的诊断和治疗会给主治医生带来特殊的挑战,因此了解相关的妊娠期皮肤病、可靠地识别和诊断这些疾病以及观察红色信号以保护孕妇和胎儿是非常重要的。本文将解释孕妇皮肤最重要的变化,并介绍潜在的警示信号。除了色素沉着的变化外,还介绍了妊娠对原有炎症性皮肤病的影响及其改善或恶化情况。此外,还解释了所谓的特殊妊娠期皮肤病在妊娠过程中的发生。最后,还介绍了母亲的自身免疫性疾病在多大程度上也会影响胎儿,以及新生儿的皮肤变化在多大程度上会预示着母亲的疾病。还介绍了作为主要症状的各种 "红旗 "及其相关性。
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