Gestational Pemphigus : A Case Report

Pregnancy-associated dermatoses represent a heterogeneous group with variable expression, ranging from pathologies with simple aesthetic impact to those with a pejorative prognosis. The occurrence of pemphigus during pregnancy is exceptional. The diagnosis is generally easy and is based on the clinic, histology and direct and indirect immunofluorescence. No clinico-biological particularity is observed during this association, but the occurrence of maternal-fetal complications makes it all the more serious. The treatment is mainly based on corticosteroid therapy, plasmapheresis as well as intravenous immunoglobulins. We report the case of a patient37 years old, married and mother of 3 living vaginally who consults for spots erythemato-papular lesions, vesicular in places associated with lesions in rosette and pseudo-rosette occupying the abdomen without respecting the periumbilical region, the limbs generalized lower arms and forearms occurring in the third trimester in a presumed unmonitored pregnancy at 36 weeks of amenorrhea and 3 days and whose skin biopsy wasin favor of a pemphigoid.