Ingber: Obstetric Dermatology: A Practical Guide






There are many changes in the skin, hair, and nails during and after pregnancy. Patients are certainly aware that those changes are occurring, but few physicians and even fewer patients know how to predict the course of those changes. Pigmentary changes occur, but are they permanent? Can they be prevented or reversed? Hair may become thicker during pregnancy, only to fall out in the postpartum period. When will hair stop falling out? Will it grow back? What hormonal changes are occurring to produce these effects on the skin, hair, and nails? Will those hormonal changes affect other organs?
Some cutaneous manifestations of pregnancy are common and recognized by most physicians. Abdominal striae, for example, are easily identified, but physicians have many questions about them. Why do they develop? Can they be prevented or treated? Other cutaneous manifestations of pregnancy are less common and recognized by few. For example, pruritic urticarial papules and plaques of pregnancy is a debilitating condition that is treatable once diagnosed. Even more important than the treatment, the knowledge imparted to a worried mother that her child will be fine and that the condition is selflimited is priceless; but the condition must first be recognized by the patient’s physician.
All of these questions and conditions are addressed in this extraordinary book. Pigmentary disorders are addressed in detail in Chap. 2. Not only are readers told of the existence of disorders such as melasma, but the condition and its variable presentations are explained along with extensive discussion of the pathophysiology of the disorder as well an appropriately lengthy discussion of treatments. Disorders of hair and nails are covered extensively in Chap. 3, and all the questions raised in this foreword are answered well as are a multitude of other issues involving hair and nails during pregnancy. Chapter 1 offers a comprehensive review of hormonal changes in pregnancy that will serve students and residents in dermatology and obstetrics very well. These are elaborated on further in Chaps. 5 and 6, which discuss the physiologic changes caused by the hormonal alterations during pregnancy.
Much of the remainder of the book is devoted to specific pregnancy-related diseases. Each of these chapters combines a comprehensive review of the literature with clinical expertise that could only be written by a master clinician. The chapters on the various pruritic disorders of pregnancy could stand alone as classic references on a symptom complex that troubles many patients and their physicians. Undoubtedly, many patients will benefit from the information in this book, and many physicians will find answers to their perplexing questions about dermatologic disorders of pregnancy.
Some cutaneous manifestations of pregnancy are trivial and others are life-threatening to the mother and the fetus. The impact of pregnancy on diseases of the skin, and the impact of those diseases and their treatments on pregnancy are so varied and numerous that this subject is certainly worthy of a major textbook. Arieh Ingber has created a comprehensive work that will help obstetricians and dermatologists recognize and treat the many different conditions affecting the skin, hair, and nails during pregnancy. This should indeed become an important textbook for obstetricians, dermatologists, and students and residents.

Contents
  • 1 Endocrine and Immunologic Alterations During Pregnancy
  • 2 Hyperpigmentation and Melasma
  • 3 Hair and Nails
  • 4 Connective Tissue Physiologic Changes During Pregnancy
  • 5 Physiologic Vascular Changes During Pregnancy
  • 6 Physiologic Glandular Changes During Pregnancy
  • 7 Inflammatory Skin Conditions During Pregnancy
  • 8 Autoimmune Conditions During Pregnancy
  • 9 Tumors in Pregnancy
  • 10 Metabolic Diseases in Pregnancy
  • 11 Pruritus Gravidarum and Intrahepatic Cholestasis of Pregnancy
  • 12 Herpes (Pemphigoid) Gestationis
  • 13 Impetigo Herpetiformis
  • 14 Autoimmune Progesterone Dermatitis of Pregnancy
  • 15 Linear IgM Dermatosis of Pregnancy
  • 16 Prurigo of Pregnancy
  • 17 Pruritic Folliculitis of Pregnancy
  • 18 Pruritic Urticarial Papules and Plaques of Pregnancy
  • Index 

Product Details

  • Paperback: 196 pages
  • Publisher: Springer; 1st edition (November 10, 2010)
  • Language: English
  • ISBN-10: 364210004X
  • ISBN-13: 978-3642100048
  • Product Dimensions: 9.5 x 6.5 x 0.5 inches
List Price: $109.00
 

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