Management of Allergic Skin Disorders in Pregnancy

Immunol Allergy Clin North Am. 2023 Feb;43(1):117-132. doi: 10.1016/j.iac.2022.05.012. Epub 2022 Oct 28.

Abstract

The safe management of allergic skin disorders during pregnancy is essential to maternal and fetal health. Poorly controlled allergic skin disease affects the health of mother and child. This article reviews the disease course and treatment of atopic dermatitis, chronic urticaria, and allergic contact dermatitis in pregnancy. It focuses on topical and systemic therapies in the context of pregnancy and breastfeeding. Because disease activity may vary in pregnancy, prescription stewardship is imperative; a balance among disease control, minimum effective dosing, and medication safety profiles should be maintained. Secondary complications and risks to maternal or infant health should also be avoided.

Keywords: Allergy; Atopic dermatitis; Chronic urticaria; Contact dermatitis; Lactation; Pregnancy.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Breast Feeding
  • Child
  • Dermatitis, Allergic Contact*
  • Dermatitis, Atopic* / drug therapy
  • Dermatitis, Atopic* / therapy
  • Female
  • Humans
  • Infant
  • Pregnancy
  • Skin
  • Skin Diseases*