Question

A 28-year-old gravida 1 woman at 32 weeks gestation presents with new-onset generalised pruritus worse on the palms and soles, without rash. Liver enzymes are mildly elevated and serum bile acids are significantly raised. Which diagnosis is most likely?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Pemphigoid gestationis

Answer

Pruritic urticarial papules and plaques of pregnancy

Answer

Atopic eruption of pregnancy

Answer

Acute fatty liver of pregnancy

Practice question

A 28-year-old gravida 1 woman at 32 weeks gestation presents with new-onset generalised pruritus worse on the palms and soles, without rash. Liver enzymes are mildly elevated and serum bile acids are significantly raised. Which diagnosis is most likely?