Pustular psoriasis of pregnancy: A rare cause of placental insufficiency

Author:

McStay Daniel1ORCID,McBride Sandy2,Hill Sharleen2,Sutton Jonathan2,Saleem Amber2,Singh Vinita1

Affiliation:

1. Department of Obstetrics & Gynaecology, Royal Free London NHS Foundation Trust, London, UK

2. Department of Dermatology, Royal Free London NHS Foundation Trust, London, UK

Abstract

Generalised pustular psoriasis of pregnancy (GPPP) is a rare dermatosis that presents in the third trimester. It merits careful clinical assessment given the difficulty in diagnosis, impact on maternal health and association with placental insufficiency. We present a case of generalised pustulosis in a pregnant woman at 30 weeks gestation and describe the clinico-pathological challenges in obtaining a diagnosis of GPPP. Furthermore, we provide evidence from cardiotocography and ultrasound of evolving fetal compromise and describe how intensive management can facilitate a positive maternal–fetal outcome.

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

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