Herpes gestationis, first trimester
ICD-10 O26.41 is a billable code used to indicate a diagnosis of herpes gestationis, first trimester.
Herpes gestationis, also known as pemphigoid gestationis, is an autoimmune blistering disorder that typically arises during pregnancy, often in the first trimester. It is characterized by the development of itchy, blistering lesions that can appear on the abdomen, arms, and legs. The condition is thought to be related to the body's immune response to placental antigens. While it is not directly harmful to the fetus, it can lead to complications such as preterm birth or low birth weight if not managed properly. Maternal care involves monitoring for skin lesions, managing itching, and ensuring that the mother is comfortable. Treatment may include topical corticosteroids or antihistamines. It is crucial for healthcare providers to differentiate herpes gestationis from other conditions such as herpes simplex virus infections or other dermatoses of pregnancy to ensure appropriate management and care.
Detailed documentation of the onset, location, and characteristics of lesions, as well as treatment plans and patient responses.
A pregnant patient presents with itchy blisters on the abdomen; differential diagnosis includes herpes gestationis versus herpes simplex.
Ensure that the diagnosis is clearly documented to avoid confusion with other conditions, and monitor for any complications that may arise.
Comprehensive documentation of maternal and fetal health, including any potential impacts of herpes gestationis on pregnancy outcomes.
Management of a high-risk pregnancy where the mother has a history of autoimmune conditions, including herpes gestationis.
Close monitoring of fetal growth and development, as well as maternal comfort and health.
Used for follow-up visits to manage symptoms of herpes gestationis.
Document the patient's symptoms, treatment plan, and any changes in condition.
Obstetricians should ensure that the visit is clearly related to the management of the pregnancy.
The primary treatment for herpes gestationis during pregnancy includes the use of topical corticosteroids to manage itching and blistering. In severe cases, systemic corticosteroids may be considered. It is essential to monitor the condition closely to prevent complications.
