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33-Year-Old Female with Psoriasis Planning for Pregnancy

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Clinical Cases in Psoriasis

Part of the book series: Clinical Cases in Dermatology ((CLIDADE))

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Abstract

A 33-year-old female with a 20-year history of moderately controlled psoriasis presented to the clinic seeking advice on how to best manage her psoriasis if she were to become pregnant. She and her spouse were planning on conceiving a child in 6 months. Her current treatment regimen included adalimumab and methotrexate. She denied experiencing side effects with her medications. She was otherwise healthy and does not have any other medical illnesses.

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References

  • Bae YS, Van Voorhees AS, Hsu S, Korman NJ, Lebwohl MG, Young M, Bebo Jr B, Kimball AB. National Psoriasis Foundation. Review of treatment options for psoriasis in pregnant or lactating women: from the Medical Board of the National Psoriasis Foundation. J Am Acad Dermatol. 2012;67(3):459–77. doi:10.1016/j.jaad.2011.07.039.

    Article  PubMed  Google Scholar 

  • Barbagallo J, Spann CT, Tutrone WD, Weinberg JM. Narrowband UVB phototherapy for the treatment of psoriasis: a review and update. Cutis. 2001;68(5):345–7.

    CAS  PubMed  Google Scholar 

  • Ben-David G, Sheiner E, Hallak M, Levy A. Pregnancy outcome in women with psoriasis. J Reprod Med. 2008;53(3):183–7.

    PubMed  Google Scholar 

  • Carter JD, Valeriano J, Vasey FB. Tumor necrosis factor-alpha inhibition and VATER association: a causal relationship. J Rheumatol. 2006;33(5):1014–7.

    PubMed  Google Scholar 

  • Chi CC, Wang SH, Mayon-White R, Wojnarowska F. Pregnancy outcomes after maternal exposure to topical corticosteroids: a UK population-based cohort study. JAMA Dermatol. 2013;149(11):1274–80. doi:10.1001/jamadermatol.2013.5768.

    Article  PubMed  Google Scholar 

  • Chi CC, Wang SH, Kirtschig G. Safety of topical corticosteroids in pregnancy. JAMA Dermatol. 2016;152(8):934–5.

    Article  PubMed  Google Scholar 

  • Cochat P, Decramer S, Robert-Gnansia E, Dubourg L, Audra P. Renal outcome of children exposed to cyclosporine in utero. Transplant Proc. 2004;36(2):S208–10.

    Article  Google Scholar 

  • El-Saie LT, Rabie AR, Kamel MI, Seddeik AK, Elsaie ML. Effect of narrowband ultraviolet B phototherapy on serum folic acid levels in patients with psoriasis. Lasers Med Sci. 2011;26(4):481–5. doi:10.1007/s10103-011-0895-0.

    Article  PubMed  Google Scholar 

  • Horn EJ, Chambers CD, Menter A, Kimball AB. International psoriasis council. Pregnancy outcomes in psoriasis: why do we know so little? J Am Acad Dermatol. 2009;61(2):e5–8. doi:10.1016/j.jaad.2009.05.004.

    Article  PubMed  Google Scholar 

  • Hyrich KL, Verstappen SM. Biologic therapies and pregnancy: the story so far. Rheumatology. 2014;53(8):1377–85. doi:10.1093/rheumatology/ket409.

    Article  CAS  PubMed  Google Scholar 

  • Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb AB, Koo JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner KR, Bhushan R. Guidelines of care for the management of psoriasis and psoriatic arthritis: section 4. Guidelines of care for the management and treatment of psoriasis with traditional systemic agents. J Am Acad Dermatol. 2009;61(3):451–85. doi:10.1016/j.jaad.2009.03.027.

    Article  CAS  PubMed  Google Scholar 

  • Murase JE, Chan KK, Garite TJ, Cooper DM, Weinstein GD. Hormonal effect on psoriasis in pregnancy and post partum. Arch Dermatol. 2005;141(5):601–6.

    Article  CAS  PubMed  Google Scholar 

  • Murase JE, Heller MM, Butler DC. Safety of dermatologic medications in pregnancy and lactation: part I. Pregnancy. J Am Acad Dermatol. 2014;70(3):401.e1–14; quiz 415. doi:10.1016/j.jaad.2013.09.010.

  • Nulman I, Sgro M, Barrera M, Chitayat D, Cairney J, Koren G. Long-term neurodevelopment of children exposed in utero to ciclosporin after maternal renal transplant. Pediatr Drugs. 2010;12(2):113–22.

    Article  Google Scholar 

  • Yang YW, Chen CS, Chen YH, Lin HC. Psoriasis and pregnancy outcomes: a nationwide population-based study. J Am Acad Dermatol. 2011;64(1):71–7.

    Article  PubMed  Google Scholar 

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Correspondence to Jashin J. Wu .

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No, D.J., Pun, S., Amin, M., Wu, J.J. (2017). 33-Year-Old Female with Psoriasis Planning for Pregnancy. In: Wu, J. (eds) Clinical Cases in Psoriasis. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-52779-6_12

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  • DOI: https://doi.org/10.1007/978-3-319-52779-6_12

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-52779-6

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