CLINICAL CASE OF SKIN CHANGES IN PREGNANCY WHICH SIMULATING SKIN VASCULITIS

Trypilka S.A.¹, Golovach I.Yu.², Yehudina Ye.D.³

• ¹Communal non-profit enterprise of the Kharkiv Regional Council «Regional Clinical Hospital», Kharkiv
• ²Feofaniya Clinical Hospital, Kyiv
• ³Clinic of Modern Rheumatology, Kyiv

Summary. Introduction. Pregnancy is associated with complex of endocrinological, immunological, metabo­lic, and vascular changes that may influence the skin and other organs in various ways. Pregnancy is a period in which more than 90% women have significant and complex skin changes that may have great impact on the woman’s life. Goal. Presentation of a clinical case of dermatosis by the type of «spider angiomas» in a pregnant patient, which imitated skin changes in systemic diseases of the connective tissue. Conducting a differential diagnosis and focusing on physiological changes in the skin during pregnancy. Main part. The dermatoses of pregnancy represent a heterogeneous group of skin diseases related to pregnancy and/or the postpartum period. The dermatoses of pregnancy can be classified into the following three groups: Physiologic skin changes in pregnancy, pre-existing dermatoses affected by pregnancy, and specific dermatoses of pregnancy. For rheumatologists, skin pathology in pregnancy may be of clinical interest, since skin changes may resemble skin lesions in systemic connective tissue diseases and vasculitis. A clinical case of skin changes is presented in a young patient with a 30-week pregnancy, who underwent various examinations for a month to clarify the genesis of skin changes. The patient was consulted by a dermatologist, general practitioner, vascular surgeon and allergist. Including consultation of a rheumatologist to exclude systemic diseases of the connective tissue. The patient revealed vascular changes characteristic of pregnancy, which were incorrectly assessed as the onset of rheumatological disease. Conclusions. A thorough history and comparison of the time of the appearance of skin changes with hormonal changes characteristic of pregnancy, full resolution of symptoms after childbirth can help in making the right diagnosis and free pregnant wo­men from unnecessary consultations and the need to be in the hospital.