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19 - Dermatoses

from Section 5 - Other disorders

Published online by Cambridge University Press:  19 October 2009

By
Robert S. F. McKay  and
John E. Schlicher
Edited by
David R. Gambling ,
M. Joanne Douglas  and
Robert S. F. McKay
Robert S. F. McKay
Affiliation:
Clinical Professor and Chair, Department of Anesthesiology, University of Kansas, School of Medicine – Wichita, Wichita, KS, USA
John E. Schlicher
Affiliation:
Private Practice, Dermatologist, Beatrice Keller Clinic, Sun City West, AZ, USA
David R. Gambling
Affiliation:
University of California, San Diego
M. Joanne Douglas
Affiliation:
University of British Columbia, Vancouver
Robert S. F. McKay
Affiliation:
University of Kansas
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Summary

Introduction

The hormonal environment during pregnancy leads to significant changes in the integumentary system of virtually all pregnant women. In a few, skin changes may become pathologic. Likewise, women with nonpregnancy-related skin disorders may become pregnant, and the pregnancy may affect the course of the disease or, alternatively, the skin disorder may adversely affect the mother or the fetus. This chapter will focus on (1) normal changes of the skin during pregnancy, (2) pathologic skin disorders that occur primarily in pregnant women, (3) other dermatologic disorders with significant effects on the mother and/or fetus, and (4) the anesthetic considerations for women with these dermatologic disorders. Certain diseases that affect the skin in pregnancy, such as autoimmune diseases, are discussed in detail in other chapters. These diseases may be mentioned only in passing in the current chapter, even though the degree of skin involvement may be substantial.

Functions of the skin

The integumentary system comprises approximately 16% of body weight. It is a system containing multiple tissues including skin itself (epidermis, dermis, and hypodermis), glands (sudoriferous and sebaceous), hair, nails, nervous tissue, blood vessels, and even muscle (piloerector muscles). Although considered a single organ, the skin serves multiple discrete and interactive functions. As a barrier, it protects the body from physical agents, mechanical injury, dehydration, and ultraviolet radiation. The proper balance of collagen and elastic fibers gives skin flexibility while preventing overstretching. The skin's secretory glands, fat, and vascular system help regulate body temperature.

Type
Chapter
Information
Obstetric Anesthesia and Uncommon Disorders , pp. 343 - 362
Publisher: Cambridge University Press
Print publication year: 2008

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  • Dermatoses
    • By Robert S. F. McKay, Clinical Professor and Chair, Department of Anesthesiology, University of Kansas, School of Medicine – Wichita, Wichita, KS, USA, John E. Schlicher, Private Practice, Dermatologist, Beatrice Keller Clinic, Sun City West, AZ, USA
  • Edited by David R. Gambling, University of California, San Diego, M. Joanne Douglas, University of British Columbia, Vancouver, Robert S. F. McKay, University of Kansas
  • Book: Obstetric Anesthesia and Uncommon Disorders
  • Online publication: 19 October 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544552.020
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  • Dermatoses
    • By Robert S. F. McKay, Clinical Professor and Chair, Department of Anesthesiology, University of Kansas, School of Medicine – Wichita, Wichita, KS, USA, John E. Schlicher, Private Practice, Dermatologist, Beatrice Keller Clinic, Sun City West, AZ, USA
  • Edited by David R. Gambling, University of California, San Diego, M. Joanne Douglas, University of British Columbia, Vancouver, Robert S. F. McKay, University of Kansas
  • Book: Obstetric Anesthesia and Uncommon Disorders
  • Online publication: 19 October 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544552.020
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Dermatoses
    • By Robert S. F. McKay, Clinical Professor and Chair, Department of Anesthesiology, University of Kansas, School of Medicine – Wichita, Wichita, KS, USA, John E. Schlicher, Private Practice, Dermatologist, Beatrice Keller Clinic, Sun City West, AZ, USA
  • Edited by David R. Gambling, University of California, San Diego, M. Joanne Douglas, University of British Columbia, Vancouver, Robert S. F. McKay, University of Kansas
  • Book: Obstetric Anesthesia and Uncommon Disorders
  • Online publication: 19 October 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544552.020
Available formats
×