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PR in Pregnancy — SCE Dermatology MCQ

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ModeratePaediatric DermatologyPR in PregnancySCE Dermatology

A 30-year-old woman has pityriasis rosea. She has a herald patch followed by widespread oval salmon-pink patches arranged along skin tension lines giving a 'Christmas tree' distribution. She is 8 weeks pregnant. What is the concern?

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Correct answer: C — Discuss uncertain evidence of increased adverse pregnancy outcome when onset is early and arrange obstetric review

Early-onset pityriasis rosea has been associated in observational reports with miscarriage or premature delivery, but the evidence is limited and does not establish inevitable fetal harm. Explain the uncertainty, confirm the diagnosis and arrange obstetric review rather than giving categorical reassurance or routine antiviral treatment.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/skin-conditions