A 42 year old female in her first pregnancy develops pruritis. Other than the itching, her pregnancy and delivery are uncomplicated


Question Number 1038
Question:
A 42 year old female in her first pregnancy develops pruritis. Other than the itching, her pregnancy and delivery are uncomplicated. However, even after the birth of her healthy baby boy, the pruritis continues. Two years later she develops jaundice. On physical examination, she is found to have hepatosplenomegaly. Her laboratory results show an elevated alkaline phosphatase (four times normal) and an elevated bilirubin. She is found to have mitochondrial antibodies. What condition should be included in the differential diagnosis?
a) primary biliary cirrhosis
b) hemochromatosis
c) Laennec's cirrhosis
d) hepatitis A
e) hepatocellular carcinoma


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