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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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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author Jasmine H. Wong
Udele Tagoe
Hatice B. Zengin
Bijal Amin
Beth N. McLellan
Matthew Cowan
author_facet Jasmine H. Wong
Udele Tagoe
Hatice B. Zengin
Bijal Amin
Beth N. McLellan
Matthew Cowan
author_sort Jasmine H. Wong
collection DOAJ
description 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.
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issn 2352-5789
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series Gynecologic Oncology Reports
spelling doaj-art-0fdd5a49737c4ceca015121132e30c502025-08-20T03:30:51ZengElsevierGynecologic Oncology Reports2352-57892025-06-015910177110.1016/j.gore.2025.101771Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case reportJasmine H. Wong0Udele Tagoe1Hatice B. Zengin2Bijal Amin3Beth N. McLellan4Matthew Cowan5Division of Dermatology, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA; Corresponding author at: 3411 Wayne Ave., Bronx, NY 10467, USA.Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, Montefiore Medical Center, USADivision of Dermatology, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA; Department of Pathology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USADivision of Dermatology, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA; Department of Pathology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USADivision of Dermatology, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USADivision of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, Montefiore Medical Center, USAPemphigoid 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.http://www.sciencedirect.com/science/article/pii/S2352578925000967Pemphigoid gestationisGestational trophoblastic neoplasiaMethotrexate
spellingShingle Jasmine H. Wong
Udele Tagoe
Hatice B. Zengin
Bijal Amin
Beth N. McLellan
Matthew Cowan
Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report
Gynecologic Oncology Reports
Pemphigoid gestationis
Gestational trophoblastic neoplasia
Methotrexate
title Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report
title_full Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report
title_fullStr Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report
title_full_unstemmed Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report
title_short Pemphigoid gestationis associated with gestational trophoblastic neoplasia: A case report
title_sort pemphigoid gestationis associated with gestational trophoblastic neoplasia a case report
topic Pemphigoid gestationis
Gestational trophoblastic neoplasia
Methotrexate
url http://www.sciencedirect.com/science/article/pii/S2352578925000967
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