Treatment of Autoimmune Bullous Diseases During Pregnancy and Lactation: A Review Focusing on Pemphigus and Pemphigoid Gestationis

Pregnancy may induce the onset or exacerbation of autoimmune bullous diseases such as pemphigus or pemphigoid gestationis. A shift toward T helper (Th) 2 immune response and the influence of hormonal changes have been evoked as possible triggering factors. Therapeutic management of this setting of p...

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Bibliographic Details
Published in:Frontiers in pharmacology Vol. 11; p. 583354
Main Authors: Genovese, Giovanni, Derlino, Federica, Berti, Emilio, Marzano, Angelo Valerio
Format: Journal Article
Language:English
Published: Frontiers Media S.A 02-10-2020
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Summary:Pregnancy may induce the onset or exacerbation of autoimmune bullous diseases such as pemphigus or pemphigoid gestationis. A shift toward T helper (Th) 2 immune response and the influence of hormonal changes have been evoked as possible triggering factors. Therapeutic management of this setting of patients may represent a challenge, mainly due to safety concerns of some immunosuppressive drugs during pregnancy and lactation. In this narrative review, we provided a comprehensive overview of the therapeutic management of autoimmune bullous diseases in pregnant and breastfeeding women, focusing on pemphigus and pemphigoid gestationis.
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Reviewed by: Aurora Parodi, University of Genoa, Italy; Gabriele Simonini, University of Florence, Italy
This article was submitted to Obstetric and Pediatric Pharmacology, a section of the journal Frontiers in Pharmacology
Edited by: Cecilia Beatrice Chighizola, Istituto Auxologico Italiano (IRCCS), Italy
ISSN:1663-9812
1663-9812
DOI:10.3389/fphar.2020.583354