Question

A 26-year-old pregnant woman at 32 weeks gestation presents with severe itching, particularly on palms and soles, worse at night, and no rash. LFTs show elevated bile acids. According to RCOG guidelines, what is the most likely diagnosis?

Accepted Answer

Cholestasis of pregnancy

Answer

PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy)

Answer

Pemphigoid gestationis

Answer

Atopic eruption of pregnancy

Answer

Scabies

Practice question

A 26-year-old pregnant woman at 32 weeks gestation presents with severe itching, particularly on palms and soles, worse at night, and no rash. LFTs show elevated bile acids. According to RCOG guidelines, what is the most likely diagnosis?