Alterations in hormonal balance and mechanical stretching are responsible for several changes in the integumentary system during pregnancy. Stretch marks often occur on the abdomen and breasts. These are referred to as

a. Chloasma
b. Linea nigra
c. Striae gravidarum
d. Angiomas


C
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A Chloasma is a facial melasma also known as the "mask of pregnancy." This
condition is manifested by a blotchy, hyperpigmentation of the skin over the
cheeks, nose and forehead especially in dark complexioned women.
B Linea nigra is a pigmented line extending from the symphysis pubis to the top of
the fundus in the midline.
C Striae gravidarum or stretch marks appear in 50% to 90% of pregnant women
during the second half of pregnancy. They most often occur on the breasts and
abdomen. This integumentary alteration is the result of separation within the
underlying connective (collagen) tissue.
D Angiomas and other changes also may appear.

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