Kehamilan dengan Psoriasis Pustulosa Generalisata
ABSTRACT: This article reports
a case of pregnancy with generalized pustular psoriasis. The case, Mrs NR, 25,
was handled at dermatology and venereology ward. Anatomic pathology laboratory
examination was performed, revealing pustular psoriasis with typical clinical
symptoms, where there were erythematous macule, on top of which pustules were
dispersed. The diagnosis was, therefore, the pustular psoriasis. There was
repeated recurrence, particularly during pregnancy. The patient was therapied
with topical corticosteroid and, with consideration that there was flare
several days after therapy and pregnancy age of 38 weeks, the pregnancy was
terminated with caesarean section, and a male infant of 3100 grams was born.
After delivery, the condition of the mother and the baby was improved and they
were discharged on day 5. In this case, topical corticosteroid therapy was
given, and apparently during the course of the disease, there was relapse due
to the absence of general down-regulation from the immune system by pregnancy
hormones, particularly the corticosteroid.
Keywords: generalized pustular
psoriasis, pregnancy
Penulis: A Anugrah RSA, Erry
Gumilar Dachlan, Saut Sahat Pohan
Kode Jurnal: jpkedokterandd090010
