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Pregnant Woman Has Itchy Palms, Soles - Let's Diagnose

dec3quiz.jpgA 38-year-old woman in her third trimester of pregnancy went to her obstetrician complaining of general pruritus, noting it was almost intolerable on the palms of her hands and soles of her feet. She just couldn’t stop scratching although no rash was visible. The itching was more severe in the evening. She was also fatigued more than usual and was experiencing some right upper quadrant pain.

Could it be polymorphic eruption of pregnancy? Atopic dermatitis? Cholestasis of pregnancy? Acute fatty liver of pregnancy?

Check out the differential we created in VisualDx.

The correct answer is...

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