A Papulosquamous Eruption in a Pregnant Woman

AUTHORS:
Emma Basaran, MD¹ • Michael Tracey, MD²

AFFILIATIONS:
¹Internal Medicine Residency Program, Naval Medical Center San Diego, California

²National Capital Consortium Dermatology Residency Program, Walter Reed National Military Medical Center, Bethesda, Maryland

CITATION:
Basaran E, Tracey M. A papulosquamous eruption in a pregnant woman. Consultant. 2021;61(4):e21-e22. doi:10.25270/con.2020.07.00014

Received April 5, 2020. Accepted July 10, 2020. Published online July 30, 2020.

DISCLOSURES:
The authors report no relevant financial relationships.

DISCLAIMER:
The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, the Department of Defense, or the US Government.

CORRESPONDENCE:
Michael Tracey, MD, Department of Dermatology, Walter Reed National Military Medical Center, 8901 Rockville Pk, Bethesda, MD 20814 (michael.s.tracey4.mil@mail.mil)

A 21-year-old primigravida woman at 21 weeks of gestation presented to the dermatology clinic for a rapidly developing, nonpruritic, scaly rash that had begun 1 week prior on her left flank and that had spread to her abdomen, breasts, and back. She did not report any systemic symptoms, she had no significant medical history, and her pregnancy had been uncomplicated.

Physical examination revealed a 3-cm ovoid plaque with overlying scale on the patient’s left flank. There were an additional 25 to 30 similar, if smaller, lesions on the trunk (Figure). The patient was in no acute distress, and no lymphadenopathy was noted on palpation. Her vital signs were normal. Fetal heart tones were noted to be in the normal range.