Physiologic Skin Changes in Pregnancy - Differential Diagnosis Algorithm
Face
• Melasma
Abdomen
• Linea Nigra
Hormone induced
• Hyperpigmentation of areolae, axillae & genitalia
• Increase in mole size & number (probable)
Skin
• Palmar erythema
• Spider Nevi
• Cherry Hemangioma (Campbell de Morgan spot)
• Pyogenic granuloma
Mucous Membranes
• Chadwick's sign (bluish discoloration of cervix/vagina/vulva)
Other
• Striae Distensae (striae gravidarum)
• Distal Onycholysis
• Subungual Keratosis
• Hyperhidrosis
• Miliaria
• Dyshidrotic Eczema
• Hirsutism (face, limbs, and back)
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