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Primary Biliary Cholangitis: a Rare Diagnosis During Pregnancy

dc.contributor.authorInês Felizardo Lopes, I
dc.contributor.authorDos Reis, CP
dc.contributor.authorAlves, MJ
dc.contributor.authorCalinas, F
dc.contributor.authorBorges, MA
dc.date.accessioned2023-04-12T15:04:31Z
dc.date.available2023-04-12T15:04:31Z
dc.date.issued2022
dc.description.abstractPrimary biliary cholangitis is an autoimmune disease that mostly affects women. It is uncommon in women of childbearing age and the diagnosis during pregnancy is rare and can be challenging. Described here is a case of primary biliary cholangitis first manifesting during pregnancy, with the onset of pruritus, jaundice, biochemical liver abnormalities and positive antimitochondrial antibodies. Although treatment with ursodeoxycholic acid was started at the time of diagnosis, there was a progressive worsening of cholestatic biochemical markers throughout pregnancy. In addition, fasting hyperglycemia with polyhydramnios was diagnosed, consistent with gestational diabetes. She had a spontaneous preterm delivery at 31 weeks of gestation, of a newborn who was admitted to the neonatal intensive care unit but who subsequently had no long-term sequelae of preterm delivery. A maternal postpartum flare occurred. Treatment with ursodeoxycholic acid was well tolerated during pregnancy and lactation.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObstet Med . 2022 Dec;15(4):273-275.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4483
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagept_PT
dc.subjectCholestasispt_PT
dc.subjectLiver diseasept_PT
dc.subjectPregnancypt_PT
dc.subjectPrimary biliary cholangitispt_PT
dc.subjectMAC OBSpt_PT
dc.subjectHSJ MEDpt_PT
dc.subjectMAC MEDpt_PT
dc.subjectHSAC GASpt_PT
dc.titlePrimary Biliary Cholangitis: a Rare Diagnosis During Pregnancypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage275pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage273pt_PT
oaire.citation.volume15pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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