Question

A 35-year-old pregnant woman at 36 weeks presents with itching, predominantly on the palms and soles, worse at night, with elevated bile acids. According to NICE, which is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Acute fatty liver of pregnancy

Answer

Gestational pemphigoid

Answer

Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Answer

Cholestatic drug reaction

Practice question

A 35-year-old pregnant woman at 36 weeks presents with itching, predominantly on the palms and soles, worse at night, with elevated bile acids. According to NICE, which is the most likely diagnosis?