Intrahepatic cholestasis of pregnancy (ICP) is characterized by generalized pruritus without skin lesions in pregnancy, accompanied by elevated serum bile acid levels +/− elevated se...
Rare cases have been reported in the 1st trimester (2).
Pru...
Repeat serum bile acid levels and liver function tests 6 to 12 weeks after delivery.
Persistent lab abnormalities or symptoms necessitate gastroenterology referral...
Brouwers L, Koster MP, Page-Christiaens GC, et al. Intrahepatic cholestasis of pregnancy: maternal and fetal outcomes associated with elevated bile aci...
K83.1 Obstruction of bile duct
O26.619 Liver and biliary tract disord in pregnancy, unsp trimester
O26.611 Liver and biliary tract disord in pregnancy, first trimester
O26.612 Liver and biliar...
Consider ICP in pregnant women with diffuse itching in the absence of rash.
Serum bile acids are the most sensitive laboratory test for ICP, but liver function tests may also be abnorma...
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