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This course provides diagnostic and therapeutic strategies for care providers managing skin disease in pregnancy. Basic principles regarding medication safety counseling in pregnancy are reviewed, and the international pregnancy classifications are summarized. Oral antibiotics, including key counseling points for a complicated skin infection in pregnancy requiring second and third line therapies, are outlined. Risks associated with systemic antifungals are detailed, and guidelines for pregnant women with chronic herpes simplex viral infection are reviewed. An overview of the four primary pregnancy dermatoses is described, and the key counseling points when managing an eczematous dermatitis in pregnancy are summarized. The therapeutic ladder for the management of both psoriasis and blistering diseases, including pemphigus and pemphigoid gestationis, in pregnancy is detailed, including implications for the pregnancy prognosis in uncontrolled or undertreated disease. This course is packed with clinical pearls for care providers managing skin disease in pregnancy.
Dr. Jenny Murase is an Associate Clinical Professor of Dermatology at the University of California, San Francisco (UCSF), and the Director of Medical Dermatology Consultative Services and Patch Testing for the Palo Alto Foundation Medical Group. She provides consultative services for diagnostic dilemmas, adult atopic dermatitis, women’s health in dermatology (such as pregnancy dermatoses and lactation issues), psychodermatology (delusions of parasitosis), and patch testing. She is the co-Editor in Chief of the International Journal of Women’s Dermatology and the Founding and Current Chair of the AAD Women’s Health Expert Resource Group. Dr. Murase received her medical degree from the University of California, Irvine (UCI); she received the Dean’s award and was the first in the School of Medicine to graduate with distinction in clinical research. She completed dermatology residency at UCI, receiving honors from the North American Clinical Dermatologic Society, Women’s Dermatology Society (WDS), American Academy of Dermatology (AAD), Pacific Dermatology Association, and California Society of Dermatology and Dermatologic Surgery while in residency. Board certified in dermatology and active in clinical research and teaching, she was voted by the UCSF residents to be the best dermatology instructor among the adjunct clinical faculty in the department in 2010 and 2020. She serves on the board of the American Contact Dermatitis Society as the Contact Allergen Management Program Council Chair. She was the Chair of the San Francisco Dermatological Society for seven years and continues to serve on the board of the society and represent northern California on the AAD Advisory Board. She has been selected to be a course director at the World Congress, EADV, and AAD Annual meetings the past twelve years, directing over 25 symposia on Women’s Health Therapeutics. For her volunteer work in Africa and as a teacher, she has received Gold Recognition in the AAD Leadership Circle of Volunteerism, the AAD Members Making a Difference award in 2006, and the President’s Volunteer Service Award in 2009. Dr. Murase has authored or coauthored more than 110 peer-reviewed book chapters and articles, and actively reviews for six major dermatology journals.