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Title: Intrahepatic cholestasis of pregnancy: when should you look further?
Austin Authors: Hardikar, Winita;Kansal, Shivani;Oude Elferink, Ronald P J;Angus, Peter W 
Affiliation: Victorian Liver Transplant Unit, Austin Hospital, Melbourne 3084, Australia
Issue Date: 7-Mar-2009
Publication information: World Journal of Gastroenterology; 15(9): 1126-9
Abstract: Pruritus with abnormal liver function tests is the classical presentation of intrahepatic cholestasis of pregnancy (ICP), a condition associated with significant fetal complications. Although the etiology of ICP is unclear in many cases, certain features of the clinical presentation should alert the practitioner to the possibility of an underlying metabolic defect, which may not only affect subsequent pregnancies, but may be an indicator of more serious subsequent liver disease. We report a kindred of Anglo-Celtic descent, among whom many members present with ICP, gallstones or cholestasis related to use of oral contraception. Genetic studies revealed a novel mutation in the ABCB4 gene, which codes for a phospholipid transport protein. The clinical significance of this mutation and the importance of identifying such patients are discussed.
Gov't Doc #: 19266607
Journal: World Journal of Gastroenterology
Type: Journal Article
Subjects: Adult
Cholestasis, Intrahepatic.epidemiology.genetics
Ethnic Groups.genetics
Fetal Diseases.diagnosis
Liver Function Tests
Pregnancy Complications.epidemiology.genetics
Appears in Collections:Journal articles

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