Syphilis

Selected References:

  • Adhikari EH. 2026. Diagnosis and Management of Syphilis in Pregnancy. Obstet Gynecol. 147(3):323-35. 
  • American College of Obstetricians and Gynecologists. 2024. Screening for syphilis in pregnancy. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2024/04/screening-for-syphilis-in-pregnancy/.[Accessed 03/2026]. 
  • Appak O, et al. 2019. [A case of congenital syphilis and prozone phenomenon]. Mikrobiyol Bul 53(3): 336-342. Article in Turkish with English abstract. 
  • Brookings C, et al. 2013. Sexually transmitted infections and sexual function in relation to male fertility. Korean J Urol. 54(3):149-56.  
  • Centers for Disease Control and Prevention. 2025. About syphilis. Centers for Disease Control and Prevention https://www.cdc.gov/syphilis/about/index.html. [Accessed 03/2026] 
  • Centers for Disease Control and Prevention. 2025. STD facts – congenital syphilis. https://www.cdc.gov/syphilis/about/about-congenital-syphilis.html. [Accessed 03/2026] 
  • Chevalier FJ, et al. 2025. Syphilis: A Review. JAMA. 334(21):1927-40. Erratum in: JAMA. 334(21):1955. 
  • da Silva HBM, et al. 2024. Syphilis in pregnancy and adverse birth outcomes: A nationwide longitudinal study in Brazil. Int J Gynaecol Obstet. 166(1): 80-9.  
  • Desjardins AA, et al. 2025. FIGO Committee on Infections During Pregnancy and FIGO Committee on Health Systems Strengthening. Syphilis in pregnancy: A practical guide for prenatal care providers. Int J Gynaecol Obstet. 171(2):601-10.  
  • Gulersen M, et al. 2023. Risk factors and adverse outcomes associated with syphilis infection during pregnancy. Am J Obstet Gynecol MFM. 5(6):100957. Hegde A, et al.  2023. Congenital syphilis: a rare presentation of a forgotten infection. J Infect
  • Dev Ctries 17(1): 135-138.  
  • Kimberlin DW, et al. 2021. Committee on Infectious Diseases, American Academy of Pediatrics. Red Book: 2021–2024 Report of the Committee on Infectious Diseases. American Academy of Pediatrics; Itasca, IL, USA. 
  • Mascola L, et al. 1985. Congenital syphilis revisited. Am J Dis Child 139:575-80. 
  • Mavrov GI, Goubenko TV. 2001. Clinical and epidemiological features of syphilis in pregnant women: the course and outcome of pregnancy. Gynecol Obstet Invest; 52:114-8.  
  • Mayo Foundation for Medical Education and Research. 2024. Syphilis. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/syphilis/symptoms-causes/syc-20351756. [Accessed 03/2026] 
  • Office on Women’s Health. 2024. Sexually transmitted infections, pregnancy, and breastfeeding. U.S. Department of Health and Human Services. [Accessed 03/2026).
    https://womenshealth.gov/a-z-topics/stis-pregnancy-and-breastfeeding 
  • Papp JR, et al. 2024. CDC Laboratory Recommendations for Syphilis Testing, United States, 2024. MMWR Recomm Rep. 73(1):1–32. 
  • Peeling RW, et al. 2023. Syphilis. Lancet. 402(10398):336-46. 
  • Rac MW, et al. 2017. Syphilis during pregnancy: a preventable threat to maternal-fetal health. Am J Obstet Gynecol; 216(4): 352-363.  
  • Sankaran D, et al. 2023. Congenital Syphilis-An Illustrative Review. Children (Basel).; 10(8):1310.  
  • Schlueter A, et al. 2022 Adverse pregnancy outcomes associated with maternal syphilis infection, The Journal of Maternal-Fetal & Neonatal Medicine, 35 (25): 5828-5833, 
  • Stafford IA, et al. 2024. Syphilis Complicating Pregnancy and Congenital Syphilis. N Engl J Med. 390(3):242-253.  
  • Verghese VP, et al. 2018. Early Childhood Neurodevelopmental Outcomes in Infants Exposed to Infectious Syphilis In Utero. Pediatr Infect Dis J; 37(6):576-579.  
  • Wan Z, et al. 2020. Maternal syphilis treatment and pregnancy outcomes: a retrospective study in Jiangxi province, China. BMC Pregnancy Childbirth. 20:648 

 


Syphilis

Selected References:

  • Andersson NW et al 2021. Evaluation of topical corticosteroids use in pregnancy and risk of newborns being small for gestation al age and having low birth weight. JAMA Dermatol 157(7): 788-795. Doi10.1001/jamadermatol.2021.1090. 
  • Chan TC, et al. 2020. Taiwanese Dermatological Association consensus for the management of atopic dermatitis: A 2020 update. Journal of the Formosan Medical Association. 
  • Chi CC et al. 2013. Pregnancy outcomes after maternal exposure to topical corticosteroids: a UK population-based cohort study. JAMA Dermatol. 149(11):1274-1280.  
  • Chi CC, et al. 2015. Safety of topical corticosteroids in pregnancy. Cochrane Database Syst Rev. (10):CD007346. 
  • Chi CC, et al. 2016. Safety of Topical Corticosteroids in Pregnancy. JAMA Dermatol. 152(8):934-5. 
  • Chi CC, et al. 2017. Updated evidence-based (S2e) European Dermatology Forum guideline on topical corticosteroids in pregnancy. J Eur Acad Dermatol Venereol. 31(5):761-773.  
  • Hamann CR, et al. 2018. Pregnancy complications, treatment characteristics and birth outcomes in women with atopic dermatitis in Denmark. J Eur Acad Dermatol Venereol. [Epub ahead of print]. 
  • Mygind H et al 2002. Risk of intrauterine growth retardation, malformations and other birth outcomes in children after topical use of corticosteroid pregnancy. Acta Obstet Gynecol Scand 81(3):234-239. 
  • Stacey SK, McEleney M. 2021. Topical Corticosteroids: Choice and Application. Am Fam Physician; 103(6):337-343.  
  • Tyler KH. 2015. Dermatologic therapy in pregnancy. Clin Obstet Gynecol. 58(1):112-8.  
  • Vestergaard C, et al. 2019. European task force on atopic dermatitis position paper: treatment of parental atopic dermatitis during preconception, pregnancy and lactation period. Journal of the European Academy of Dermatology and Venereology, 33(9): 1644-1659  

 


Syphilis

Selected References:

  • Centers for Disease Control and Prevention. 2025. About RSV. Available at https://www.cdc.gov/rsv/about/index.html. Accessed 4 March 2026. 
  • Centers for Disease Control and Prevention. 2024. RSV Vaccine Guidance for Pregnant Women. Available at https://www.cdc.gov/rsv/hcp/vaccine-clinical-guidance/pregnant-people.html. Accessed 4 March 2026. 
  • DeSilva M. 2025. Prenatal RSVpreF Vaccine Safety 2023–2024 Respiratory Season: The Vaccine Safety Datalink (VSD). Centers for Disease Control and Prevention. Presented at: Meeting of the Advisory Committee on Immunization Practices (ACIP); June 25, 2025; Atlanta, Georgia. Available at: https://www.cdc.gov/acip/downloads/slides-2025-06-25-26/04a-DeSilva-Mat-Peds-RSV-508.pdf. Accessed 4 March 2026.  
  • Fleming-Dutra KE, et al. 2023. Use of the Pfizer respiratory syncytial virus vaccine during pregnancy for the prevention of respiratory syncytial virus-associated lower respiratory tract disease in infants: recommendations of the Advisory Committee on Immunization Practices—United States, 2023. MMWR Morb Mortal Wkly Rep; 72(41):1115-1122. 
  • Kampmann B, et al. 2023. Bivalent prefusion F vaccine in pregnancy to prevent RSV illness in infants. N Engl J Med; 388:1451-146. 
  • Marchand GJ, et al. 2024. RSVpreF vaccination in pregnancy: a meta-analysis of maternal-fetal safety and infant efficacy. Obstet Gynecol Sci 67(6): 511-524. 
  • Michnick AI, et al. 2026. Interim safety of RSVpreF vaccination during pregnancy. JAMA. 335(5):456–459. 
  • U.S. Food and Drug Administration. 2023 (Revised 2025). AbrysvoTM Prescribing Information. Available at: https://www.fda.gov/media/168889/download. Accessed 4 March 2026. 
  • Son M, et al. 2024. Nonadjuvanted bivalent respiratory syncytial virus vaccination and perinatal outcomes. JAMA Netw Open; 7(7):e2419268.  

 

 


Syphilis

Selected References:

  • Gallagher M. 2018. Exposure to Dihyroxyacetone in Sunless Tanning Products. Understanding the Risks. J Dermatol Nurses Assoc. 10(1)11-17. 
  • Meadows M. 2003. Don’t be in the dark about tanning. FDA Consumer Magazine, 37:6.  
  • Turner J et al. 2023. In search of the perfect tan: Chemical activity, biological effects, business considerations, and consumer implications of dihydroxyacetone sunless tanning products. J Cosmet Dermatol. 22(1)79-88. 
  • United States Food and Drug Administration (FDA). 2022. Modernization of Cosmetics Regulation Act of 2022 (MoCRA). Available at https://www.fda.gov/cosmetics/cosmetics-laws-regulations/modernization-cosmetics-regulation-act-2022-mocra.  
  • United States Food and Drug Administration (FDA). 2024. Sunless tanners and bronzers. Available at https://www.fda.gov/cosmetics/cosmetic-products/sunless-tanners-bronzers  
  • Yourick JJ, et al. 2004. Fate of chemicals in skin after dermal application: Does the in vitro skin reservoir affect the estimate of systemic absorption? Toxicol Appl Pharmacol, 195:309-320.


Syphilis

Selected References:

  • Bandoli G, et al. 2010 Potentially modifiable risk factors for adverse pregnancy outcomes in women with psoriasis. Br J Dermatol; 163(2):334-339. 
  • Ben-David G, et al. 2008. Pregnancy outcome in women with psoriasis. J Reprod Med; 53(3):183-187.  
  • Berman M, et al. 2018. The effect of pregnancy on disease activity in patients with psoriatic arthritis. J Rheumatol; 45(12):1651-1655. 
  • Bobotsis R, et al. 2016. Psoriasis and adverse pregnancy outcomes: a systematic review of observational studies. Br J Dermatol; 175(3):464-472.  
  • Bröms G, et al. 2018. Effect of maternal psoriasis on pregnancy and birth Outcomes: A population-based cohort study from Denmark and Sweden. Acta Derm Venereol; 98(8):728-734. 
  • Butler DC, et al. 2014. Safety of dermatologic medications in pregnancy and lactation: Part II. Lactation. J Am Acad Dermatol; 70(3):417.e1-10; quiz 427.  
  • Caldarola G, et al. 2017. Untreated psoriasis impairs male fertility: A case-control study. Dermatology; 233(2-3):170-174. 
  • Carman WJ, et al. 2017. Pregnancy and infant outcomes including major congenital malformations among women with chronic inflammatory arthritis or psoriasis, with and without etanercept use. Pharmacoepidemiol Drug Saf; 26(9):1109-1118. 
  • Cohen-Barak E, et al. 2011. Pregnancy outcomes in women with moderate-to-severe psoriasis. J Eur Acad Dermatol Venereol; 25(9):1041-1047.  
  • Eudy AM, et al. 2020. Pregnancy outcomes, fertility, and family planning in with psoriatic arthritis. Obstet Med; 13(2)70-75. 
  • Gladman DD, et al. 2005. Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis; 64 Suppl 2:ii14-17. 
  • Harder E, et al. 2014. No increased risk of fetal death or prolonged time to pregnancy in women with psoriasis. Invest Dermatol; 34(6):1747-1749. 
  • Huerta C, et al. 2007. Incidence and Risk Factors for Psoriasis in the General Population. Arch Dermatol; 143(12):1559-1565. 
  • Johansen CB, et al. 2022. Psoriasis and adverse pregnancy outcomes: A nationwide case-control study in 491,274 women in Denmark. JAAD; Int  7: 146–155. 
  • Kerola AM, et al. 2024. Patterns of reproductive health in inflammatory rheumatic diseases and other immune-mediated diseases: a nationwide registry study. Rheumatology (Oxford). keae122. PMID: 38503536. 
  • Kimball AE et al. 2021. Pregnancy Outcomes in Women With Moderate-to-Severe Psoriasis From the Psoriasis Longitudinal Assessment and Registry (PSOLAR) JAMA Dermatol; 157(3): 1–6. 
  • Meissner Y, et al. 2021. Pregnancy in women with psoriatic arthritis: A systematic literature review of disease activity and adverse pregnancy outcomes. Semin Arthritis Rheum; 51(3):530-538. 
  • Meserve J, et al. 2021. Paternal Exposure to Immunosuppressive and/or Biologic Agents and Birth Outcomes in Patients with Immune-Mediated Inflammatory Diseases. Gastroenterology; 161(1):107-115. 
  • Lima XT, et al. 2012. The impact of psoriasis on pregnancy outcomes. J Invest Dermatol; 132(1):85-91.  
  • McMullan P, et al. 2024. Safety of dermatologic medications in pregnancy and lactation: An Update – Part I: Pregnancy. J Am Acad Dermatol; S0190-9622(24)00109-9.  
  • Murase JE, et al. 2005. Hormonal effect on psoriasis in pregnancy & post-partum. Arch Dermatol; 141(5):601-606. 
  • Murase JE, et al. 2014. Safety of dermatologic medications in pregnancy and lactation: Part I. Pregnancy. J Am Acad Dermatol; 70(3):401.e1-14. 
  • Ostensen M. 1992. The effect of pregnancy on ankylosing spondylitis, psoriatic arthritis, and juvenile rheumatoid arthritis. Am J Reprod Immunol; 28(3-4):235-237. 
  • Polachek A, et al. 2018. Outcome of pregnancy in women with psoriatic arthritis compared to healthy controls. Clinic Rheum; 38: 895-902. 
  • Rademaker M, et al. 2018. Psoriasis in those planning a family, pregnant or breast-feeding. The Australasian Psoriasis Collaboration. Australas J Dermatol; 59(2):86-100. 
  • Rahmati S, et al. 2023. Impact of maternal psoriasis on adverse maternal and neonatal outcomes: a systematic review and meta-analysis. BMC Pregnancy Childbirth; 23(1):703.  
  • Raychaudhuri SP, et al. 2003. Clinical course of psoriasis during pregnancy. Int J Dermatol; 42(7):518-20. 
  • Remaeus K, et al. 2019. Maternal and infant pregnancy outcomes in women with psoriatic arthritis: a Swedish nationwide cohort study. BJOG; 126(10):1213-1222. 
  • Secher AEP, et al. 2025. Preterm birth in women with psoriatic arthritis: what are the risks and risk factors? A collaborative cohort study from Sweden, Denmark and Norway. RMD Open; 11(4):e005614.  
  • Seeger JD, et al. 2007. Pregnancy and pregnancy outcome among women with inflammatory skin diseases. Dermatol; 214(1)32-39.  
  • Smith C, et al. 2020. Birth outcomes and disease activity during pregnancy in a prospective cohort of women with psoriatic arthritis and ankylosing spondylitis. Amer Col Rheum; 72(7):1029-1037 
  • Tuğrul Ayanoğlu B, et al. 2018. Diminished ovarian reserve in patients with psoriasis. Taiwan J Obstet Gynecol; 57(2):227-230.  
  • Ursin K, et al. 2018. Disease activity of psoriatic arthritis during and after pregnancy: A prospective multicenter study. Arthritis Care Res (Hoboken); 71(8):1092-1100. 
  • Yaghi M, et al. 2024. Safety of Dermatologic Medications in Pregnancy and Lactation: An Update – Part II: Lactation. J Am Acad Dermatol; S0190-9622(24)00110-5.  
  • Yang YW, et al. 2011. Psoriasis and pregnancy outcomes: a nationwide population-based study. J Am Acad Dermatol; 64(1):71-77.  
  • Yiu ZZ, et al. 2014. Safety of biological therapies for psoriasis: effects on reproductive potential and outcomes in male and female patients. Br J Dermatol; 171(3):485-491. 
  • Yiu ZZ, et al. 2015. Safety of conventional systemic therapies for psoriasis on reproductive potential and outcomes. J Dermatolog Treat; 30:1-6.