Rare Dermatological Pathologies in Pregnancy. Importance of Early Diagnosis and Multidisciplinary Management

Cellulitis is among the most common skin and soft tissue infections and manifests as an area of skin erythema, warmth and edema as a result of bacterial of the skin barrier. The incidence of cellulitis is about 200 cases/ 100.000 patients per year. In the majority of cases the epidemiological factor are beta-hemolytic streptococci (groups A, B, C, G, and F). Pregnant and postpartum patients have an increased risk for developing invasive infection which typically manifests as toxic shock syndrome, sepsis or necrotizing fasciitis. Onset of cellulitis antepartum is uncommon, most patients being healthy and with uncomplicated pregnancies. We present the case of a 36 years old gravida which presents for her 34 weeks checkup. From the obstetrical point of view all parameters were within normal, the patient being known with a gestational diabetes well controlled through appropriate diet. The patient describes non-specific bilateral inner thigh pain that started approximately 12 hours ago. Further multidisciplinary management establish the diagnosis of acute infectious cellulitis with an excellent outcome due to early diagnosis and specific treatment. The particularity of these case is bilateral cellulite, mirrored on the inner thighs in the third trimester of pregnancy in a woman with no other risk factors other than well-controlled diabetes mellitus, in which childbirth favored a better outcome.