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- Title
Pregnancy outcome in women with vitiligo.
- Authors
Horev, Amir; Weintraub, Adi Y.; Sergienko, Ruslan; Wiznitzer, Arnon; Halevy, Sima; Sheiner, Eyal
- Abstract
Background Vitiligo, characterized by destruction of melanocytes, causes a patchy depigmentation of the skin. It has been hypothesized to have an autoimmune pathogenesis. Autoimmune disorders are more common among women and may be associated with adverse pregnancy outcomes, such as recurrent abortions, intrauterine growth restriction (IUGR), and pre-eclampsia. Objective The purpose of this study was to investigate whether patients with vitiligo have increased rates of gestational complications. Methods A retrospective comparative study was undertaken comparing pregnancy complications of patients with and without vitiligo. The population was composed of all singleton deliveries that occurred at the Soroka University Medical Center in Israel during the years 1988-2006. Women lacking prenatal care and multiple gestations were excluded from the study. A multivariable logistic regression model was constructed to control for confounders. Results Of 186,222 singleton deliveries, 79 (0.04%) were patients with vitiligo. Vitiligo was not found to be associated with adverse pregnancy outcomes, including obstetric risk factors, labor characteristics and complications, and birth outcome. Using multivariable analysis, only grand multiparity (above five deliveries) was independently associated with vitiligo (OR = 2.01; 95% CI 1.2-3.2; P = 0.007). Limitations Retrospective analysis was a limitation. Conclusion Vitiligo is not associated with adverse pregnancy outcomes. Accordingly, patients with vitiligo should not be managed differently from the general obstetric population.
- Subjects
VITILIGO; PREGNANCY complications; MELANOCYTES; AUTOIMMUNE diseases; LOGISTIC regression analysis; DISEASE risk factors
- Publication
International Journal of Dermatology, 2011, Vol 50, Issue 9, p1083
- ISSN
0011-9059
- Publication type
Article
- DOI
10.1111/j.1365-4632.2010.04839.x