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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Urticarial Rashes, Itching Body. Abnormal LFT Results. Reason? Recently Delivered Baby

Hello dr,i had delivered my baby boy 2 and half months back at 38 weeks of gestation cocieved thru assisted reproduction.At 3rd trimester i developed intense itching without rash,Sgpt was done which was 600,urso 250 had been prescribed,itching was relieved after 1 week of starting medication and Sgpt came back to normal i.e 23 after 1 month of medicine,urso was continued until delivery and diagnosis of intrahepatic cholestasis of pregnancy was made..now after 2 and half months later I developed sudden urticarial rashes with itching all over the body at night fr 2 to 3 days,I repeated the LFTs bilirubin levels came normal,Sgpt was 51(< 35)gamma gt was 63(<38)alkaline phosphatse was 118(45-129).Minimal itch is still there without any other symptoms.Plz explain y my LFTs are still dearranged and what about the episodes of urticarial rashes and minimal itch these days??
posted on Mon, 8 Apr 2013
Twitter Tue, 9 Apr 2013 Answered on
Twitter Wed, 10 Apr 2013 Last reviewed on
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Dermatologist,  's  Response
Dear Naadia,

Welcome to HCM.

First of congrats for becoming mother of healthy baby.

You are having problem known as Pruritus gravidarum- A condition of intense pruritus without any skin changes/ signs occurring in 2 nd/ more frequently in 3rd trimester of pregnancy.

The Liver function tests can be abnormal in this condition as is evident in your case too. During your pregnancy you were prescribed the best of the medication by your doctor (urso 250).

The itching usually subsides rapidly after childbirth, but may persist for some weeks after delivery. So you should not be worried about if the rash is appearing it might be part of pruritus gravidarum or just not specific urticarial rash.

Now regarding your LFTs- bilirubin levels is normal, SGPT came down to 51 from 600, gamma GT was 63 is marginally high and alkaline phosphatse was 118 is normal (upper side). We consider abnormal liver function when these are double the normal value. With all and above you are having minimal itch.

So stop worrying young lady- as we consider stress also to be one of the cause of itching.

Have the best of the time with your baby,

May God bless you,

Dr Sanjay K Kanodia
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Urticarial Rashes, Itching Body. Abnormal LFT Results. Reason? Recently Delivered Baby

Dear Naadia, Welcome to HCM. First of congrats for becoming mother of healthy baby. You are having problem known as Pruritus gravidarum- A condition of intense pruritus without any skin changes/ signs occurring in 2 nd/ more frequently in 3rd trimester of pregnancy. The Liver function tests can be abnormal in this condition as is evident in your case too. During your pregnancy you were prescribed the best of the medication by your doctor (urso 250). The itching usually subsides rapidly after childbirth, but may persist for some weeks after delivery. So you should not be worried about if the rash is appearing it might be part of pruritus gravidarum or just not specific urticarial rash. Now regarding your LFTs- bilirubin levels is normal, SGPT came down to 51 from 600, gamma GT was 63 is marginally high and alkaline phosphatse was 118 is normal (upper side). We consider abnormal liver function when these are double the normal value. With all and above you are having minimal itch. So stop worrying young lady- as we consider stress also to be one of the cause of itching. Have the best of the time with your baby, May God bless you, Dr Sanjay K Kanodia