Prevalência da Acantose Nigricans em gestantes de alto risco

Abstract

Objective: To assess the prevalence of Acanthosis Nigricans (AN) in high-risk pregnancies. Methods: A prevalence study in High-Risk Pregnancy Health Unit at the Hospital Geral de Caxias do Sul was carried out between November, 2018 to November, 2019. It was evaluated second and third trimesters high-risk pregnant woman with Diabetes Mellitus (DM), arterial hypertension or obesity. In order to identify 12 AN, all the patients had their neck examined. The participants were included in two groups: Group 1 (with AN) and Group 2 (without AN). Results: The prevalence of AN was 53,4% in 401 pregnant woman enrolled. Among those it was observed 98 patients with obesity, 186 with hypertension and 117 with DM. AN was identified in 66,3%(n=65), 53,2%(n=99) and 50 (42,7%) ,respectively. Bivariate logist regression highlighted the association between AN and DM [ p<0,03;OR 1,96 (1,09-3,54)],as well obesity [p<0,0001; OR 3,33 (2,14- 5,18)]. Hypertension [p=0,67; OR 1,12 (0,65–1,93)] and gestational age [p=0,44; OR 0,99 (0,97- 1,01)] were not associated to AN. Conclusion: It was evident that a quick clinical examination of the pregnant woman’s cervical area, even at the primary level of care, can easily identify the skin change, allowing its approach even before laboratory results, thus avoiding perinatal outcomes. [resumo fornecido pelo autor]