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- Title
Pruritic urticarial papules and plaques of gestation in perinatal depression.
- Authors
Hassan, F.; Azaaibi, M.; Shahid, S.; Saimwala, T.S.; Kalar, N.; Mughal, M.T.; Wahab, A.; Wahab, G.; Haider, F.; Azam, A.; Shahid, N.; Mujeeb, E.; Kalar, M.U.
- Abstract
Introduction The cutaneous polymorphic eruption of pregnancy (PEP) is presented by skin lesions usually in the third trimester of gestation and about 13% of women also suffer from perinatal depression. Objective To determine the frequency of pruritic urticarial papules of gestation with and without perinatal depression. Aim To assess the maternal causes for polymorphic eruption of pregnancy (PEP) in patients with and without perinatal depression. Methods Cases and controls were matched on the grounds of maternal weight gain in gestation, hormonal changes, deficit in iron and zinc, dysregulation of hypothalamic pituitary axis, pre-maturity, pre-eclampsia, pre-term labour. Univariate and multivariate analysis, adjusting for important demographic factors and comorbodities was conducted to assess the relationship of PEP with and without perinatal depression in reduced and full models of ANOVA in regression analysis. (Reduced model Y = β 0 + β 1 X 1 + … and the full model Y = β 0 + β 1 X 1 + β 2 X 2 + β 3 X 3 + β 4 X 4 + β 5 X 5 + β 6 X 6 + …) Results Polymorphic eruption of pregnancy with perinatal depression was statistically significant in maternal weight gain in gestation [odds ratio (OR) 1.20; 95% (CI): 1.15–1.30], hormonal changes [(OR) 2.78; 95% (CI): 2.52–2.82], deficit in iron and zinc [(OR) 2.18; 95% (CI): 2.04–2.38], dysregulation of hypothalamic pituitary axis [(OR) 1.37; 95% (CI): 1.18–1.49] and was not statistically significant in pre-maturity, pre-eclampsia and pre-term labour in cases and controls. Conclusion Pruritic urticarial papules and plaques of gestation are commonly associated in patients with perinatal derpession.
- Subjects
MENTAL depression; THIRD trimester of pregnancy; GESTATIONAL age; PREECLAMPSIA; REGRESSION analysis; PSYCHIATRIC research; THERAPEUTICS
- Publication
European Psychiatry, 2016, Vol 33, pS149
- ISSN
0924-9338
- Publication type
Article
- DOI
10.1016/j.eurpsy.2016.01.217