10th August 2020

A 19-year-old woman who is G2P1 attends her midwife clinic because she has been feeling uneasy

A 19-year-old woman who is G2P1 (2 pregnancies, with one previous birth along with the current pregnancy) attends her midwife clinic because she has been feeling uneasy. She is getting progressively worried about the itchy rash she has developed on her abdomen. At first it started as stretch marks but has now become larger and redder. She is 34 weeks into her pregnancy, and is worried about how this will affect her pregnancy.

The rash has linear erythematous lesions across the majority of circumference of the abdomen with periumbilical sparing. There are some excoriations present. On examination, there are no fluid filled blisters.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.

Note: G (Gravidity) is the number of times a woman has been pregnant and P (parity) is the number of times she has given birth to foetuses with a gestational age of 24 weeks or more irrespective of whether the child is alive or stillborn. The + refers to the number of miscarriages or terminations the woman has had.