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MediumObstetrics & GynaecologyIntrahepatic Cholestasis of Pregnancyukmlamrcgp aktmrcp part 1

A 29-year-old woman, who is 32 weeks pregnant with her first child, presents with a 1-week history of generalised itching, particularly severe on her palms and soles, and worse at night. She has no rash. Liver function tests show elevated bile acids and a mild rise in ALT. What is the most likely diagnosis?

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