Question

A 28-year-old pregnant woman at 32 weeks gestation complains of severe itching predominantly on the palms and soles, worse at night. No rash is visible. Liver function tests show elevated bile acids. What is the most likely diagnosis?

Accepted Answer

Obstetric cholestasis (intrahepatic cholestasis of pregnancy)

Answer

Preeclampsia

Answer

PUPPP (pruritic urticarial papules and plaques of pregnancy)

Answer

Acute fatty liver of pregnancy

Answer

Cholestasis secondary to gallstones

Practice question

A 28-year-old pregnant woman at 32 weeks gestation complains of severe itching predominantly on the palms and soles, worse at night. No rash is visible. Liver function tests show elevated bile acids. What is the most likely diagnosis?