Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report

Pemphigoid gestationis (PG) is well described in pregnancy, classically presenting as a pruritic, periumbilical rash in multiparous women in the second or third trimester.We describe a unique case of a woman with gestational trophoblastic neoplasia (GTN) status post dilation and curettage on methotr...

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Bibliographic Details
Main Authors: Jasmine H. Wong, Udele Tagoe, Hatice B. Zengin, Bijal Amin, Beth N. McLellan, Matthew Cowan
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Gynecologic Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352578925000967
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Summary:Pemphigoid gestationis (PG) is well described in pregnancy, classically presenting as a pruritic, periumbilical rash in multiparous women in the second or third trimester.We describe a unique case of a woman with gestational trophoblastic neoplasia (GTN) status post dilation and curettage on methotrexate (MTX) who presented with a diffuse, pruritic rash. After the rash persisted and flared despite multiple cycles of MTX, biopsies were obtained supporting a diagnosis of PG.It is important to consider PG on the differential in non-pregnant patients with GTN with a persistent pruritic rash, even in the setting of ongoing treatment with MTX.
ISSN:2352-5789