Autoimmune progesterone dermatitis: clinical presentation and management with progesterone desensitization for successful in vitro fertilization Alicia.

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Autoimmune progesterone dermatitis: clinical presentation and management with progesterone desensitization for successful in vitro fertilization Alicia Prieto-Garcia, M.D., David E. Sloane, M.D., Antonio R. Gargiulo, M.D., Anna M. Feldweg, M.D., Mariana Castells, M.D., Ph.D. Fertility and Sterility Volume 95, Issue 3, Pages 1121.e9-1121.e13 (March 2011) DOI: 10.1016/j.fertnstert.2010.10.038 Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Patient 4 was seen with round, 1- to 2-cm dark, erythematous, scaly plaques on her face, neck, abdomen, chest, pelvis and lower back, which slowly faded to dark purple color but did not clear entirely before the start of her next cycle, when a new crop would appear at the same anatomic location. The previous month, she also had lip and eyelid swelling and an oral mucosa lesion. Skin lesions in two consecutive months are shown. Fertility and Sterility 2011 95, 1121.e9-1121.e13DOI: (10.1016/j.fertnstert.2010.10.038) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Estradiol and progesterone in the menstrual cycle. Arrows show the cycle day when symptoms start in each patient. Fertility and Sterility 2011 95, 1121.e9-1121.e13DOI: (10.1016/j.fertnstert.2010.10.038) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions