Question

A 30-year-old primigravida at 28 weeks gestation presents with a 2-day history of severe itching, particularly on her palms and soles, which is worse at night. There is no rash. Liver function tests show raised bile acids and mildly elevated ALT. What is the most probable diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy (ICP)

Answer

Polymorphic eruption of pregnancy (PEP)

Answer

Pemphigoid gestationis

Answer

Acute fatty liver of pregnancy (AFLP)

Answer

Eczema

Practice question

A 30-year-old primigravida at 28 weeks gestation presents with a 2-day history of severe itching, particularly on her palms and soles, which is worse at night. There is no rash. Liver function tests show raised bile acids and mildly elevated ALT. What is the most probable diagnosis?