Question

A 28-year-old pregnant woman at 32 weeks gestation complains of new-onset itching, especially on the palms and soles, without a rash. Liver function tests show elevated bile acids. Which is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Answer

Acute fatty liver of pregnancy

Answer

Obstetric cholestasis with cholangiocarcinoma

Answer

Pemphigoid gestationis

Practice question

A 28-year-old pregnant woman at 32 weeks gestation complains of new-onset itching, especially on the palms and soles, without a rash. Liver function tests show elevated bile acids. Which is the most likely diagnosis?