임신과 관련된 피부 질환: 임상 양상, 진단 및 치료

Abstract

Pregnancy induces significant hormonal and immunological changes that can alter the skin. Pregnancy-specific dermatoses include, polymorphic eruption of pregnancy, pemphigoid gestationis, intrahepatic cholestasis of pregnancy, and atopic eruption of pregnancy, some of which are associated with adverse fetal outcomes, such as preterm birth or low birth weight. In addition, common skin diseases, such as atopic dermatitis, psoriasis, acne, and urticaria, may follow a different clinical course during pregnancy. Management is primarily symptomatic, with topical corticosteroids, antihistamines, and narrowband ultraviolet B phototherapy, which are considered to be relatively safe options, whereas systemic therapies require careful evaluation of fetal safety. This review summarizes the classification, clinical features, and treatment strategies for pregnancy-related dermatoses, aiming to provide practical guidance for clinicians to optimize maternal and fetal care.