Intrahepatic cholestasis of pregnancy (ICP) refers to a liver disorder that occurs in pregnant women. Intrahepatic cholestasis is a condition in which bile can not flow out from the liver, ultimately building up in liver cells and disrupting liver function.
WHAT MAKES US SUSPECT IT?
- Pruritus: generalized itching is a common complaint by patients
History Of Present Illness:
Location of itching: often on palms/soles of feet
- Itching is often worse at night.
Liver function tests can show elevated aminotransferases
Serum total bile acids: these can be elevated in patients (may sometimes be the only finding)
Hepatitis panel: liver viruses often need to be ruled out when working up this issue. ICP is a diagnosis of exclusion.
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Page Updated: 10.18.2016