Question

A 23-year-old woman at 32 weeks' gestation presents with severe itching, predominantly on the palms and soles, but no rash. Liver function tests are deranged with elevated bile acids. Which is the most likely diagnosis?

Accepted Answer

Cholestasis of pregnancy (Obstetric cholestasis)

Answer

Acute fatty liver of pregnancy

Answer

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Answer

Pemphigoid gestationis

Answer

Pre-eclampsia

Practice question

A 23-year-old woman at 32 weeks' gestation presents with severe itching, predominantly on the palms and soles, but no rash. Liver function tests are deranged with elevated bile acids. Which is the most likely diagnosis?