Case for Diagnosis: Pregnant Woman in the Third Trimester with Pruritic Papules and Pustules on the Trunk. Pruritic Folliculitis of Pregnancy

    Maria Rita Carvalho de Freitas Amorim, Flavia Cavaliere, Esther Oliveira Xavier de Brito, Amanda Nascimento Cavalleiro de Macedo Mota
    TLDR The woman has a rare, harmless skin condition specific to pregnancy that causes itchy bumps and will go away after she gives birth.
    The document presents a case study of a 26-year-old pregnant woman in her 31st week of gestation who developed pruritic skin lesions on her trunk. The histopathological analysis of a biopsy from a dorsal pustule showed a lymphocytic perivascular infiltrate and a hair follicle permeated by an inflammatory infiltrate, leading to the destruction of the follicular structure. The patient was diagnosed with Pruritic folliculitis of pregnancy (PFP), a rare, benign, and self-limited gestational dermatosis. The patient was treated with 5% benzoyl peroxide gel, leading to complete regression of the lesions in the first week of postpartum. The document emphasizes that PFP does not interfere with maternal-fetal morbidity and mortality, and it is essential for pregnant women to be adequately diagnosed, advised, and followed-up with specialized care.
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