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PHILADELPHIA DERMATOLOGICAL SOCIETY
May 16, 1969
Herpes Gestationis. Presented by Charles H. Greenbaum, MD.
This 30-year-old white woman in her sixth month of pregnancy was first seen in December 1968 because of a papulovesicular eruption of the legs of two weeks' duration. The eruption subsided within a few days only to recur in a week and again subside. On March 1, 1969, she went into premature labor and was delivered of a stillborn male child and an extremely small placenta. She immediately developed a widespread bullous eruption of the extremities, periumbilical area, and mouth with intense burning and pruritus. The patient has one living daughter by a stormy pregnancy; it, too, was associated with a small so-called dysfunctioning placenta. The family history was noncontributory.Examination reveals tense vesicles and bullae, grouped and discrete, usually on an erythematous base, on the arms, legs, and abdomen, especially the umbilicus. A few vesicles are
Society Transactions. Arch Dermatol. 1971;103(2):218-220. doi:10.1001/archderm.1971.04000140104019