Ap. Kenyon et al., Pruritus may precede abnormal liver function tests in pregnant women with obstetric cholestasis: a longitudinal analysis, BR J OBST G, 108(11), 2001, pp. 1190-1192
Obstetric cholestasis is a liver disorder unique to pregnancy, which typica
lly presents with pruritus. However, pruritus is common in pregnancy and th
e diagnosis of obstetric cholestasis is confirmed by finding abnormal liver
function. We report 10 cases in which pruritus occurred before any, abnorm
ality in liver function tests (including total serum bile acids) and discus
s the implications or this for clinical practice.