ABSTRACT
This chapter presents the case study of a 31-year-old woman. A 31-year-old woman is referred urgently by her local antenatal service complaining of an 8-day history of extensive and severe itchiness associated with an evolving tender eruption, which began on the palms of her hands and has spread along the inner aspects of her arms and involves her trunk. She is at 21 weeks’ gestation with her second pregnancy. Her first child is now 2 years old and was born at 38 weeks +3 days by normal vaginal delivery. She is normotensive and continues to slowly gain weight according to her antenatal records. She has widespread urticarial plaques over her palms, medial aspects of her arms, axillae, inner thighs and trunk. There are different tense fluid-filled bullae overlying the erythema in her left axilla. There is no involvement of her mucous membranes. A fetal ultrasound scan confirmed her dates to be correct and did not identify any anomalies or abnormalities.
