Question

A 30-year-old woman at 32 weeks gestation presents with itching, particularly on her palms and soles, worse at night. There is no rash. Liver function tests show ALT 150 U/L (normal <35), AST 120 U/L (normal <35), and total bile acids 45 µmol/L (normal <14). What is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy (ICP)

Answer

Acute fatty liver of pregnancy

Answer

HELLP syndrome

Answer

Viral hepatitis

Answer

PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy)

Practice question

A 30-year-old woman at 32 weeks gestation presents with itching, particularly on her palms and soles, worse at night. There is no rash. Liver function tests show ALT 150 U/L (normal <35), AST 120 U/L (normal <35), and total bile acids 45 µmol/L (normal <14). What is the most likely diagnosis?