title: [What would you do with a 29-weeks pregnant woman with generalised pruritus?].
abstract: Intrahepatic cholestasis of pregnancy is a reversible disease of variable frequency. The pathophysiology involves an increase of the bile acids in the fetal blood of the mother and the fetus. The high concentrations of the bile acids cause maternal pruritus and high perinatal morbimortality. Primary Care physicians in close contact with the patient must have a high index of suspicion when faced with typical symptoms of cholestasis, such as generalized pruritus in women in the second or third trimester of gestation to be able to act on the consequences.
authors.affiliation: Medicina Familiar y Comunitaria, Centro de Salud Reina Victoria, Madrid, España. Electronic address: Barbaramoreno71@yahoo.es.
authors.forename: B
authors.initials: B
authors.lastname: Moreno
authors.affiliation: Medicina Familiar y Comunitaria, Centro Madrid Salud Navas de Tolosa, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: López Faraldo
mesh_terms: D000328:Adult; D002780:Cholestasis, Intrahepatic / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000503:physiopathology; D011263:Pregnancy Trimester, Third; D011537:Pruritus / Q000209:etiology*
keywords: Cholestasis; Colestasis; Embarazo; Pregnancy