Background/Aims: The effect of inflammatory skin diseases on pregnancy has been incompletely characterized. We sought to estimate the incidence of pregnancy and pregnancy outcomes among women with inflammatory skin diseases. Methods: Cohort study of women with atopic dermatitis (AD), psoriasis, other inflammatory skin diseases, and comparison group, followed for pregnancies and pregnancy outcomes. Results: There were 3,131 pregnancies among 64,773 woman-years (4.8/100) in women with skin diseases, and 2,592 pregnancies among 59,826 woman-years (4.3/100) in the comparison group. The age-standardized incidence of pregnancy was similar to the comparison group [rate ratio (RR) = 1.2, 95% confidence interval (CI) 1.0–1.4 for AD, RR = 1.1, 95% CI 1.0–1.2 for psoriasis, and RR = 1.1, 95% CI 1.0–1.1 for other]. Spontaneous abortion was also similar to the comparison group (RR = 1.2 for AD, 95% CI 1.0–1.4, RR = 1.1, 95% CI 1.0–1.2 for psoriasis, and RR = 1.1, 95% CI 1.0–1.1 for other). Conclusions: Our results suggest little effect of skin disease on incidence or outcome of pregnancy.

1.
Tofte SJ, Hanifin JM: Current management and therapy of atopic dermatitis. J Am Acad Dermatol 2001;44:S13–S16.
2.
Charman C: Atopic eczema. BMJ 1999;318:1600–1604.
3.
Russell JJ: Topical tacrolimus: a new therapy for atopic dermatitis. Am Fam Phys 2002;66:1899–1902.
4.
Barnetson RSC, Rogers M: Childhood atopic eczema. BMJ 2002;324:1376–1379.
5.
Greaves MW, Weinstein GD: Treatment of psoriasis. N Engl J Med 1995;332:581–588.
6.
Robert C, Kupper TS: Inflammatory skin diseases, T-cells, and immune surveillance. N Engl J Med 1999;341:1817–1828.
7.
Granstein RD: New treatments for psoriasis. N Engl J Med 2001;345:284–287.
8.
Drug Facts and Comparisons. St. Louis, Facts and Comparisons, 2003.
9.
Hultscha T, Kappc A, Spergelb J: Immunomodulation and safety of topical calcineurin inhibitors for the treatment of atopic dermatitis. Dermatology 2005;211:174–187.
10.
Tacrolimus (Protopic®) package insert. Deerfield, Fujisawa, 2002.
11.
Ruzicka T, Bieber T, Schopf E, et al: A short-term trial of tacrolimus ointment for atopic dermatitis. N Engl J Med 1997;337:816–821.
12.
Hanifin JM, Ling MR, Langley R, Breneman D, Rafal E: Tacrolimus ointment for the treatment of atopic dermatitis in adult patients. I. Efficacy. J Am Acad Dermatol 2001;44:S28–S38.
13.
Soter NA, Fleischer AB Jr, Webster GF, Monroe E, Lawrence I: Tacrolimus ointment for the treatment of atopic dermatitis in adult patients. II. Safety. J Am Acad Dermatol 2001;44:S39–S46.
14.
Moore MM, Rifas-Shiman SL, Rich-Edwards JW, et al: Perinatal predictors of atopic dermatitis occurring in the first six months of life. Pediatrics 2004;113:468–474.
15.
Raychaudhuri SP, Navare T, Gross T, Raychoudhuri SK: Clinical course of psoriasis during pregnancy. Int J Dermatol 2003;42:518–520.
16.
Rothman KJ: Epidemiology: An Introduction. New York, Oxford University Press, 2002.
17.
STATA: Intercooled Stata 6.0 for Windows. College Station, Stata Corporation, 1999.
18.
Ventura SJ, et al: Revised pregnancy rates, 1990–97, and new rates for 1998–99, United States. National Vital Statistics Reports. Hyattsville, National Center for Health Statistics, vol 52, 2003.
19.
Martin JA, et al: Births: final data for 2001. National Vital Statistics Reports. Hyattsville, National Center for Health Statistics, vol 51, 2002.
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