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PEMPHIGOID GASTIATONIS. PREGNANCY OR TROPHOBLASTIC TUMORS- HYDATIFORM MOLE,CHORIOCARCINOMA 4 MONTH OF GASTATION TO 1 WEEK PURPARIUM USUALLY AT 23 TO 28 WEEKS OF PREGNANCY INCIDENCE 1;1700 DELIVERIES PRURATIC
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PEMPHIGOID GASTIATONIS • PREGNANCY OR TROPHOBLASTIC TUMORS- HYDATIFORM MOLE,CHORIOCARCINOMA • 4 MONTH OF GASTATION TO 1 WEEK PURPARIUM USUALLY AT 23 TO 28 WEEKS OF PREGNANCY INCIDENCE 1;1700 DELIVERIES • PRURATIC URTICARIAL PAPULES,PLAQUES,TARGET TYPE LESIONS AT UMBILICUS,ABDOMEN,THIGHS • PREMATURE BIRTH & LOW BIRTH WEIGHT BABY
PEMPHIGOID GASTIATONISDIRECT IMUNOFLUORESCENCE-DEPOSITION OF IgG & C3 DEPOSITION AT BMZ
TREATMENT • ORAL PREDNISONE- 20 TO 40 mg • WATCH FOR ADRENAL INSUFFICIENCY IN NEONATE