A 30-year-old woman at 31 weeks' gestation has intense pruritus of the palms and soles without rash. Total bile acids are elevated and AST is mildly

Question

A 30-year-old woman at 31 weeks' gestation has intense pruritus of the palms and soles without rash. Total bile acids are elevated and AST is mildly elevated. She has no fever, abdominal pain, or hypertension. Which of the following is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Pemphigoid gestationis

Answer

HELLP syndrome

Answer

Acute fatty liver of pregnancy

Answer

Atopic eruption of pregnancy

Intrahepatic cholestasis of pregnancy — USMLE Step 3 MCQ

A 30-year-old woman at 31 weeks' gestation has intense pruritus of the palms and soles without rash. Total bile acids are elevated and AST is mildly elevated. She has no fever, abdominal pain, or hypertension. Which of the following is the most likely diagnosis?