Hepatitis in pregnancy

Differential diagnosis

• Pregnancy-related liver problems
  • Hyperemesis
  • HELLP syndrome
  • AFLP
  • Intrahepatic cholestasis of pregnancy
• In Rwanda
  • Hepatitis A, B, C, E viruses
  • Malarial hepatosplenomegaly
  • Amoebic abscesses
  • Schistosomiasis

Clinical Presentation

• Signs and symptoms of hepatitis
  • Spider angiomata
  • Nausea, vomiting
  • Pruritis
  • Dark urine, pale stools
• Increased ALP non-specific, from the placenta