A 31-year-old woman at 33 weeks' gestation has intense pruritus of the palms and soles without rash. ALT is mildly elevated, fasting serum bile acids

Question

A 31-year-old woman at 33 weeks' gestation has intense pruritus of the palms and soles without rash. ALT is mildly elevated, fasting serum bile acids are elevated, and platelets are normal. Which of the following is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Acute fatty liver of pregnancy

Answer

Atopic eruption of pregnancy

Answer

Pemphigoid gestationis

Answer

HELLP syndrome

Intrahepatic cholestasis of pregnancy — USMLE Step 3 MCQ

A 31-year-old woman at 33 weeks' gestation has intense pruritus of the palms and soles without rash. ALT is mildly elevated, fasting serum bile acids are elevated, and platelets are normal. Which of the following is the most likely diagnosis?