gynecology and obstetrics
Pemphigoid Gestationis
Symptoms and Signs of Pemphigoid Gestationis
The rash is very pruritic. Lesions often start around the umbilicus, then become widespread. Vesicles and bullae are the most specific lesions; erythematous plaques may develop. The palms, soles, trunk, buttocks, and extremities may be affected but usually not the face or mucous membranes. The rash worsens during labor or immediately postpartum in up to 75% of women, typically remitting within a few weeks or months. Neonates may have erythematous plaques or vesicles that resolve spontaneously in a few weeks. 