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<meta name="keywords" content="C3549845, atp8b1, cholestasis, intrahepatic, of pregnancy, 1, cholestasis, intrahepatic, of pregnancy, type 1, cholestasis, pregnancy-related, 1, disease or syndrome, icp1, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Intrahepatic cholestasis of pregnancy is a reversible form of cholestasis that occurs most often in the third trimester of pregnancy and recurs in 45 to 70% of subsequent pregnancies. Symptoms include pruritus, jaundice, increased serum bile salts, and abnormal liver enzymes, all of which resolve rapidly after delivery. However, the condition is associated with fetal complications, including placental insufficiency, premature labor, fetal distress, and intrauterine death. Some women with ICP may also be susceptible to oral contraceptive-induced cholestasis (OCIC) (summary by Pasmant et al., 2012).&#13; Genetic Heterogeneity of Intrahepatic Cholestasis of Pregnancy&#13; See also ICP3 (614972), caused by mutation in the ABCB4 gene (171060)." /><meta name="robots" content="index,nofollow,noarchive" />
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<!--
UID=762759
ConceptID=C3549845
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Cholestasis, intrahepatic, of pregnancy, 1<span class="h1sub">(ICP1)</span></div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>762759</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information."><span class="highlight" style="background-color:">C3549845</span></a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
<td>CHOLESTASIS, PREGNANCY-RELATED, 1; ICP1</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td><a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#target-gene-loc">Gene (location):<img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a><div class="display-none" id="target-gene-loc">
Gene(s) directly associated with<br />
this condition or phenotype.</div></td>
<td><a target="_blank" title="ATP8B1 - ID: 5205 - NCBI Gene" href="/gene/5205" class="medgenPMinfo">ATP8B1</a> (18q21.31)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>Monarch Initiative:</td>
<td><a href="https://monarchinitiative.org/disease/MONDO:0007829" target="_blank">MONDO:0007829</a></td></tr>
<tr><td>OMIM<span class="superscript">®</span>:</td>
<td><a href="https://omim.org/entry/147480" target="_blank">147480</a></td></tr>
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<div class="portlet mgSection" id="ID_100">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">Intrahepatic cholestasis of pregnancy is a reversible form of cholestasis that occurs most often in the third trimester of pregnancy and recurs in 45 to 70% of subsequent pregnancies. Symptoms include pruritus, jaundice, increased serum bile salts, and abnormal liver enzymes, all of which resolve rapidly after delivery. However, the condition is associated with fetal complications, including placental insufficiency, premature labor, fetal distress, and intrauterine death. Some women with ICP may also be susceptible to oral contraceptive-induced cholestasis (OCIC) (summary by Pasmant et al., 2012).&#13; Genetic Heterogeneity of Intrahepatic Cholestasis of Pregnancy&#13; See also ICP3 (614972), caused by mutation in the ABCB4 gene (171060). [from <a title="Online Mendelian Inheritance in Man" href="http://www.omim.org" class="defSource" target="_blank">OMIM</a>]</div>
</div>
<div class="portlet mgSection" id="ID_117">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Additional_description">Additional description</h1><a sid="117" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="mgSection"><strong>From MedlinePlus Genetics</strong><br />Intrahepatic cholestasis of pregnancy (also called ICP) is a liver disorder that typically occurs during the second half of pregnancy. Cholestasis is a condition that impairs the release of a digestive fluid called bile, which is made and released by the liver. In people with cholestasis, bile builds up in the liver, impairing its function. Because the problems with bile release occur within the liver (intrahepatic), the condition is described as intrahepatic cholestasis.<br /><br />Severe itchiness (pruritus) is typically one of the first symptoms of intrahepatic cholestasis of pregnancy. The itchiness usually begins on the palms of the hands and the soles of the feet before spreading to other parts of the body. People with intrahepatic cholestasis of pregnancy have a buildup of bile acids in the blood. Bile acids are a component of bile and are produced when the liver processes cholesterol. Bile acid levels in the blood are normally low, but they can increase in people with liver disease. <br /><br />Occasionally, people with intrahepatic cholestasis of pregnancy have yellowing of the skin and whites of the eyes (jaundice). People with intrahepatic cholestasis of pregnancy typically do not continue to have signs and symptoms of the condition after having the baby, though they may have an increased risk of developing disorders of the gallbladder, liver, or heart later in life. <br /><br />Intrahepatic cholestasis of pregnancy can cause problems for the baby. This condition is associated with an increased risk of premature delivery and breathing problems in the newborn (meconium aspiration). Some infants born to people with intrahepatic cholestasis of pregnancy experience a slow heart rate and a lack of oxygen during delivery (fetal distress). People with higher levels of bile acids in their blood also have an increased risk of stillbirth.   <a target="_blank" href="https://medlineplus.gov/genetics/condition/intrahepatic-cholestasis-of-pregnancy">https://medlineplus.gov/genetics/condition/intrahepatic-cholestasis-of-pregnancy</a></div></div>
</div>
<div class="portlet mgSection" id="ID_102">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_features">Clinical features</h1><a sid="102" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat"><strong>From HPO</strong><br />
<div class="divPopper rprt" id="clin_3042"><div><strong>Intrahepatic cholestasis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>3042</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0008372</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Impairment of bile flow due to obstruction in the small bile ducts within the liver.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/3042">Feature record</a> | <a href="/medgen?term=%22Intrahepatic%20cholestasis%22%5BClinical%20Features%5D%20OR%203042%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_43987"><div><strong>Jaundice</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>43987</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0022346</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">Yellow pigmentation of the skin due to bilirubin, which in turn is the result of increased bilirubin concentration in the bloodstream.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/43987">Feature record</a> | <a href="/medgen?term=%22Jaundice%22%5BClinical%20Features%5D%20OR%2043987%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_116013"><div><strong>Elevated circulating hepatic transaminase concentration</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>116013</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0235996</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Elevations of the levels of SGOT and SGPT in the serum. SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase) are transaminases primarily found in the liver and heart and are released into the bloodstream as the result of liver or heart damage. SGOT and SGPT are used clinically mainly as markers of liver damage.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/116013">Feature record</a> | <a href="/medgen?term=%22Elevated%20circulating%20hepatic%20transaminase%20concentration%22%5BClinical%20Features%5D%20OR%20116013%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_892830"><div><strong>Increased serum bile acid concentration during pregnancy</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>892830</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4021882</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove nowrap">See: <a href="/medgen/892830">Feature record</a> | <a href="/medgen?term=%22Increased%20serum%20bile%20acid%20concentration%20during%20pregnancy%22%5BClinical%20Features%5D%20OR%20892830%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_892927"><div><strong>Abnormal liver function tests during pregnancy</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>892927</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4021883</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove nowrap">See: <a href="/medgen/892927">Feature record</a> | <a href="/medgen?term=%22Abnormal%20liver%20function%20tests%20during%20pregnancy%22%5BClinical%20Features%5D%20OR%20892927%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_19534"><div><strong>Pruritus</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>19534</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0033774</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">Pruritus is an itch or a sensation that makes a person want to scratch. This term refers to an abnormally increased disposition to experience pruritus.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/19534">Feature record</a> | <a href="/medgen?term=%22Pruritus%22%5BClinical%20Features%5D%20OR%2019534%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_5164"><div><strong>Fetal distress</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>5164</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0015930</a></dd><dt><span class="dotprefix"></span></dt><dd>Pathologic Function</dd></dl></div></div></div>
<div class="spaceAbove">An intrauterine state characterized by suboptimal values in the fetal heart rate, oxygenation of fetal blood, or other parameters indicative of compromise of the fetus. Signs of fetal distress include repetitive variable decelerations, fetal tachycardia or bradycardia, late decelerations, or low biophysical profile.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/5164">Feature record</a> | <a href="/medgen?term=%22Fetal%20distress%22%5BClinical%20Features%5D%20OR%205164%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_57721"><div><strong>Premature birth</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>57721</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0151526</a></dd><dt><span class="dotprefix"></span></dt><dd>Pathologic Function</dd></dl></div></div></div>
<div class="spaceAbove">The birth of a baby of less than 37 weeks of gestational age.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/57721">Feature record</a> | <a href="/medgen?term=%22Premature%20birth%22%5BClinical%20Features%5D%20OR%2057721%5Buid%5D">Search on this feature</a></div></div><div class="TreeLite" data-jigconfig="closed: 1"><div class="concept-def"><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().openAll(); return false;">Show all</a><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().closeAll(); return false;">Hide all</a></div><ul><li><span class="TLline">Abnormality of metabolism/homeostasis</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_892927" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Abnormal liver function tests during pregnancy</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_116013" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Elevated circulating hepatic transaminase concentration</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_892830" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Increased serum bile acid concentration during pregnancy</a></span></li></ul></li><li><span class="TLline">Abnormality of prenatal development or birth</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_5164" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Fetal distress</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_57721" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Premature birth</a></span></li></ul></li><li><span class="TLline">Abnormality of the digestive system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_3042" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Intrahepatic cholestasis</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_43987" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Jaundice</a></span></li></ul></li><li><span class="TLline">Abnormality of the integument</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_19534" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pruritus</a></span></li></ul></li></ul></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/39140906">AGA Clinical Practice Update on Pregnancy-Related Gastrointestinal and Liver Disease: Expert Review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kothari S,
Afshar Y,
Friedman LS,
Ahn J</span><br />
<span class="medgenPMjournal">Gastroenterology</span>
2024 Oct;167(5):1033-1045.
Epub 2024 Aug 12
doi: 10.1053/j.gastro.2024.06.014.
<span class="bold">PMID: </span><a href="/pubmed/39140906" target="_blank">39140906</a></div>
<div class="nl"><a target="_blank" href="/pubmed/36370086">Diagnostic criteria for intrahepatic cholestasis of pregnancy: Should the timing of total bile acids measurement be established?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Huri M,
Lippi C,
Seravalli V,
Di Tommaso M</span><br />
<span class="medgenPMjournal">Int J Gynaecol Obstet</span>
2023 Apr;161(1):328-329.
Epub 2022 Nov 23
doi: 10.1002/ijgo.14576.
<span class="bold">PMID: </span><a href="/pubmed/36370086" target="_blank">36370086</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33197417">Society for Maternal-Fetal Medicine Consult Series #53: Intrahepatic cholestasis of pregnancy: Replaces Consult #13, April 2011.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org,
Lee RH,
Mara Greenberg,
Metz TD,
Pettker CM</span><br />
<span class="medgenPMjournal">Am J Obstet Gynecol</span>
2021 Feb;224(2):B2-B9.
Epub 2020 Nov 13
doi: 10.1016/j.ajog.2020.11.002.
<span class="bold">PMID: </span><a href="/pubmed/33197417" target="_blank">33197417</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (26)</a></div></div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/37957532">Intrahepatic cholestasis of pregnancy: insights into pathogenesis and advances in omics studies.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tang M,
Xiong L,
Cai J,
Fu J,
Liu H,
Ye Y,
Yang L,
Xing S,
Yang X</span><br />
<span class="medgenPMjournal">Hepatol Int</span>
2024 Feb;18(1):50-62.
Epub 2023 Nov 13
doi: 10.1007/s12072-023-10604-y.
<span class="bold">PMID: </span><a href="/pubmed/37957532" target="_blank">37957532</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35276220">Pregnancy-Associated Liver Diseases.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Terrault NA,
Williamson C</span><br />
<span class="medgenPMjournal">Gastroenterology</span>
2022 Jul;163(1):97-117.e1.
Epub 2022 Mar 8
doi: 10.1053/j.gastro.2022.01.060.
<span class="bold">PMID: </span><a href="/pubmed/35276220" target="_blank">35276220</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32716060">Pharmacological interventions for treating intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Walker KF,
Chappell LC,
Hague WM,
Middleton P,
Thornton JG</span><br />
<span class="medgenPMjournal">Cochrane Database Syst Rev</span>
2020 Jul 27;7(7):CD000493.
doi: 10.1002/14651858.CD000493.pub3.
<span class="bold">PMID: </span><a href="/pubmed/32716060" target="_blank">32716060</a><a href="/pmc/articles/PMC7389072" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/31764000">Intrahepatic Cholestasis of Pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Smith DD,
Rood KM</span><br />
<span class="medgenPMjournal">Clin Obstet Gynecol</span>
2020 Mar;63(1):134-151.
doi: 10.1097/GRF.0000000000000495.
<span class="bold">PMID: </span><a href="/pubmed/31764000" target="_blank">31764000</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24901263">Intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Williamson C,
Geenes V</span><br />
<span class="medgenPMjournal">Obstet Gynecol</span>
2014 Jul;124(1):120-133.
doi: 10.1097/AOG.0000000000000346.
<span class="bold">PMID: </span><a href="/pubmed/24901263" target="_blank">24901263</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (366)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/37957532">Intrahepatic cholestasis of pregnancy: insights into pathogenesis and advances in omics studies.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tang M,
Xiong L,
Cai J,
Fu J,
Liu H,
Ye Y,
Yang L,
Xing S,
Yang X</span><br />
<span class="medgenPMjournal">Hepatol Int</span>
2024 Feb;18(1):50-62.
Epub 2023 Nov 13
doi: 10.1007/s12072-023-10604-y.
<span class="bold">PMID: </span><a href="/pubmed/37957532" target="_blank">37957532</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35276220">Pregnancy-Associated Liver Diseases.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Terrault NA,
Williamson C</span><br />
<span class="medgenPMjournal">Gastroenterology</span>
2022 Jul;163(1):97-117.e1.
Epub 2022 Mar 8
doi: 10.1053/j.gastro.2022.01.060.
<span class="bold">PMID: </span><a href="/pubmed/35276220" target="_blank">35276220</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32716060">Pharmacological interventions for treating intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Walker KF,
Chappell LC,
Hague WM,
Middleton P,
Thornton JG</span><br />
<span class="medgenPMjournal">Cochrane Database Syst Rev</span>
2020 Jul 27;7(7):CD000493.
doi: 10.1002/14651858.CD000493.pub3.
<span class="bold">PMID: </span><a href="/pubmed/32716060" target="_blank">32716060</a><a href="/pmc/articles/PMC7389072" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/31764000">Intrahepatic Cholestasis of Pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Smith DD,
Rood KM</span><br />
<span class="medgenPMjournal">Clin Obstet Gynecol</span>
2020 Mar;63(1):134-151.
doi: 10.1097/GRF.0000000000000495.
<span class="bold">PMID: </span><a href="/pubmed/31764000" target="_blank">31764000</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24901263">Intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Williamson C,
Geenes V</span><br />
<span class="medgenPMjournal">Obstet Gynecol</span>
2014 Jul;124(1):120-133.
doi: 10.1097/AOG.0000000000000346.
<span class="bold">PMID: </span><a href="/pubmed/24901263" target="_blank">24901263</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (253)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/38448586">Genome-wide characterization of circulating metabolic biomarkers.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Karjalainen MK,
Karthikeyan S,
Oliver-Williams C,
Sliz E,
Allara E,
Fung WT,
Surendran P,
Zhang W,
Jousilahti P,
Kristiansson K,
Salomaa V,
Goodwin M,
Hughes DA,
Boehnke M,
Fernandes Silva L,
Yin X,
Mahajan A,
Neville MJ,
van Zuydam NR,
de Mutsert R,
Li-Gao R,
Mook-Kanamori DO,
Demirkan A,
Liu J,
Noordam R,
Trompet S,
Chen Z,
Kartsonaki C,
Li L,
Lin K,
Hagenbeek FA,
Hottenga JJ,
Pool R,
Ikram MA,
van Meurs J,
Haller T,
Milaneschi Y,
Kähönen M,
Mishra PP,
Joshi PK,
Macdonald-Dunlop E,
Mangino M,
Zierer J,
Acar IE,
Hoyng CB,
Lechanteur YTE,
Franke L,
Kurilshikov A,
Zhernakova A,
Beekman M,
van den Akker EB,
Kolcic I,
Polasek O,
Rudan I,
Gieger C,
Waldenberger M,
Asselbergs FW;
China Kadoorie Biobank Collaborative Group;
Estonian Biobank Research Team;
FinnGen,
Hayward C,
Fu J,
den Hollander AI,
Menni C,
Spector TD,
Wilson JF,
Lehtimäki T,
Raitakari OT,
Penninx BWJH,
Esko T,
Walters RG,
Jukema JW,
Sattar N,
Ghanbari M,
Willems van Dijk K,
Karpe F,
McCarthy MI,
Laakso M,
Järvelin MR,
Timpson NJ,
Perola M,
Kooner JS,
Chambers JC,
van Duijn C,
Slagboom PE,
Boomsma DI,
Danesh J,
Ala-Korpela M,
Butterworth AS,
Kettunen J</span><br />
<span class="medgenPMjournal">Nature</span>
2024 Apr;628(8006):130-138.
Epub 2024 Mar 6
doi: 10.1038/s41586-024-07148-y.
<span class="bold">PMID: </span><a href="/pubmed/38448586" target="_blank">38448586</a><a href="/pmc/articles/PMC10990933" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/36307649">Mechanisms of pruritus in cholestasis: understanding and treating the itch.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Beuers U,
Wolters F,
Oude Elferink RPJ</span><br />
<span class="medgenPMjournal">Nat Rev Gastroenterol Hepatol</span>
2023 Jan;20(1):26-36.
Epub 2022 Oct 28
doi: 10.1038/s41575-022-00687-7.
<span class="bold">PMID: </span><a href="/pubmed/36307649" target="_blank">36307649</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33915090">Ursodeoxycholic acid in intrahepatic cholestasis of pregnancy: a systematic review and individual participant data meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ovadia C,
Sajous J,
Seed PT,
Patel K,
Williamson NJ,
Attilakos G,
Azzaroli F,
Bacq Y,
Batsry L,
Broom K,
Brun-Furrer R,
Bull L,
Chambers J,
Cui Y,
Ding M,
Dixon PH,
Estiú MC,
Gardiner FW,
Geenes V,
Grymowicz M,
Günaydin B,
Hague WM,
Haslinger C,
Hu Y,
Indraccolo U,
Juusela A,
Kane SC,
Kebapcilar A,
Kebapcilar L,
Kohari K,
Kondrackienė J,
Koster MPH,
Lee RH,
Liu X,
Locatelli A,
Macias RIR,
Madazli R,
Majewska A,
Maksym K,
Marathe JA,
Morton A,
Oudijk MA,
Öztekin D,
Peek MJ,
Shennan AH,
Tribe RM,
Tripodi V,
Türk Özterlemez N,
Vasavan T,
Wong LFA,
Yinon Y,
Zhang Q,
Zloto K,
Marschall HU,
Thornton J,
Chappell LC,
Williamson C</span><br />
<span class="medgenPMjournal">Lancet Gastroenterol Hepatol</span>
2021 Jul;6(7):547-558.
Epub 2021 Apr 27
doi: 10.1016/S2468-1253(21)00074-1.
<span class="bold">PMID: </span><a href="/pubmed/33915090" target="_blank">33915090</a><a href="/pmc/articles/PMC8192305" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32716060">Pharmacological interventions for treating intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Walker KF,
Chappell LC,
Hague WM,
Middleton P,
Thornton JG</span><br />
<span class="medgenPMjournal">Cochrane Database Syst Rev</span>
2020 Jul 27;7(7):CD000493.
doi: 10.1002/14651858.CD000493.pub3.
<span class="bold">PMID: </span><a href="/pubmed/32716060" target="_blank">32716060</a><a href="/pmc/articles/PMC7389072" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30773280">Association of adverse perinatal outcomes of intrahepatic cholestasis of pregnancy with biochemical markers: results of aggregate and individual patient data meta-analyses.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ovadia C,
Seed PT,
Sklavounos A,
Geenes V,
Di Ilio C,
Chambers J,
Kohari K,
Bacq Y,
Bozkurt N,
Brun-Furrer R,
Bull L,
Estiú MC,
Grymowicz M,
Gunaydin B,
Hague WM,
Haslinger C,
Hu Y,
Kawakita T,
Kebapcilar AG,
Kebapcilar L,
Kondrackienė J,
Koster MPH,
Kowalska-Kańka A,
Kupčinskas L,
Lee RH,
Locatelli A,
Macias RIR,
Marschall HU,
Oudijk MA,
Raz Y,
Rimon E,
Shan D,
Shao Y,
Tribe R,
Tripodi V,
Yayla Abide C,
Yenidede I,
Thornton JG,
Chappell LC,
Williamson C</span><br />
<span class="medgenPMjournal">Lancet</span>
2019 Mar 2;393(10174):899-909.
Epub 2019 Feb 14
doi: 10.1016/S0140-6736(18)31877-4.
<span class="bold">PMID: </span><a href="/pubmed/30773280" target="_blank">30773280</a><a href="/pmc/articles/PMC6396441" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (158)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/34823422">Intrahepatic cholestasis of pregnancy: dilemma in diagnosis and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Mathur D,
Morgan M,
McKenzie J,
Wakefield D,
Janicki MB,
Figueroa R</span><br />
<span class="medgenPMjournal">J Matern Fetal Neonatal Med</span>
2022 Dec;35(25):8975-8981.
Epub 2021 Nov 25
doi: 10.1080/14767058.2021.2008896.
<span class="bold">PMID: </span><a href="/pubmed/34823422" target="_blank">34823422</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28450276">Pregnancy and bile acid disorders.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pataia V,
Dixon PH,
Williamson C</span><br />
<span class="medgenPMjournal">Am J Physiol Gastrointest Liver Physiol</span>
2017 Jul 1;313(1):G1-G6.
Epub 2017 Apr 27
doi: 10.1152/ajpgi.00028.2017.
<span class="bold">PMID: </span><a href="/pubmed/28450276" target="_blank">28450276</a></div>
<div class="nl"><a target="_blank" href="/pubmed/25034299">Advances in pathogenesis and management of pruritus in cholestasis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kremer AE,
Bolier R,
van Dijk R,
Oude Elferink RP,
Beuers U</span><br />
<span class="medgenPMjournal">Dig Dis</span>
2014;32(5):637-45.
Epub 2014 Jul 14
doi: 10.1159/000360518.
<span class="bold">PMID: </span><a href="/pubmed/25034299" target="_blank">25034299</a></div>
<div class="nl"><a target="_blank" href="/pubmed/17535422">Intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pusl T,
Beuers U</span><br />
<span class="medgenPMjournal">Orphanet J Rare Dis</span>
2007 May 29;2:26.
doi: 10.1186/1750-1172-2-26.
<span class="bold">PMID: </span><a href="/pubmed/17535422" target="_blank">17535422</a><a href="/pmc/articles/PMC1891276" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/7054071">The enigma of intrahepatic cholestasis of pregnancy: lessons from Chile.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Reyes H</span><br />
<span class="medgenPMjournal">Hepatology</span>
1982 Jan-Feb;2(1):87-96.
doi: 10.1002/hep.1840020114.
<span class="bold">PMID: </span><a href="/pubmed/7054071" target="_blank">7054071</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (143)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/38448586">Genome-wide characterization of circulating metabolic biomarkers.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Karjalainen MK,
Karthikeyan S,
Oliver-Williams C,
Sliz E,
Allara E,
Fung WT,
Surendran P,
Zhang W,
Jousilahti P,
Kristiansson K,
Salomaa V,
Goodwin M,
Hughes DA,
Boehnke M,
Fernandes Silva L,
Yin X,
Mahajan A,
Neville MJ,
van Zuydam NR,
de Mutsert R,
Li-Gao R,
Mook-Kanamori DO,
Demirkan A,
Liu J,
Noordam R,
Trompet S,
Chen Z,
Kartsonaki C,
Li L,
Lin K,
Hagenbeek FA,
Hottenga JJ,
Pool R,
Ikram MA,
van Meurs J,
Haller T,
Milaneschi Y,
Kähönen M,
Mishra PP,
Joshi PK,
Macdonald-Dunlop E,
Mangino M,
Zierer J,
Acar IE,
Hoyng CB,
Lechanteur YTE,
Franke L,
Kurilshikov A,
Zhernakova A,
Beekman M,
van den Akker EB,
Kolcic I,
Polasek O,
Rudan I,
Gieger C,
Waldenberger M,
Asselbergs FW;
China Kadoorie Biobank Collaborative Group;
Estonian Biobank Research Team;
FinnGen,
Hayward C,
Fu J,
den Hollander AI,
Menni C,
Spector TD,
Wilson JF,
Lehtimäki T,
Raitakari OT,
Penninx BWJH,
Esko T,
Walters RG,
Jukema JW,
Sattar N,
Ghanbari M,
Willems van Dijk K,
Karpe F,
McCarthy MI,
Laakso M,
Järvelin MR,
Timpson NJ,
Perola M,
Kooner JS,
Chambers JC,
van Duijn C,
Slagboom PE,
Boomsma DI,
Danesh J,
Ala-Korpela M,
Butterworth AS,
Kettunen J</span><br />
<span class="medgenPMjournal">Nature</span>
2024 Apr;628(8006):130-138.
Epub 2024 Mar 6
doi: 10.1038/s41586-024-07148-y.
<span class="bold">PMID: </span><a href="/pubmed/38448586" target="_blank">38448586</a><a href="/pmc/articles/PMC10990933" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32716060">Pharmacological interventions for treating intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Walker KF,
Chappell LC,
Hague WM,
Middleton P,
Thornton JG</span><br />
<span class="medgenPMjournal">Cochrane Database Syst Rev</span>
2020 Jul 27;7(7):CD000493.
doi: 10.1002/14651858.CD000493.pub3.
<span class="bold">PMID: </span><a href="/pubmed/32716060" target="_blank">32716060</a><a href="/pmc/articles/PMC7389072" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26469633">Immunological basis in the pathogenesis of intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Larson SP,
Kovilam O,
Agrawal DK</span><br />
<span class="medgenPMjournal">Expert Rev Clin Immunol</span>
2016;12(1):39-48.
Epub 2015 Oct 15
doi: 10.1586/1744666X.2016.1101344.
<span class="bold">PMID: </span><a href="/pubmed/26469633" target="_blank">26469633</a><a href="/pmc/articles/PMC4893793" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26109799">Review of a challenging clinical issue: Intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ozkan S,
Ceylan Y,
Ozkan OV,
Yildirim S</span><br />
<span class="medgenPMjournal">World J Gastroenterol</span>
2015 Jun 21;21(23):7134-41.
doi: 10.3748/wjg.v21.i23.7134.
<span class="bold">PMID: </span><a href="/pubmed/26109799" target="_blank">26109799</a><a href="/pmc/articles/PMC4476874" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/17535422">Intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pusl T,
Beuers U</span><br />
<span class="medgenPMjournal">Orphanet J Rare Dis</span>
2007 May 29;2:26.
doi: 10.1186/1750-1172-2-26.
<span class="bold">PMID: </span><a href="/pubmed/17535422" target="_blank">17535422</a><a href="/pmc/articles/PMC1891276" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (201)</a></div></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_systematic_reviews">Recent systematic reviews</h1><a sid="104" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">
<div class="nl"><a target="_blank" href="/pubmed/36104763">Application of metabolomics in intrahepatic cholestasis of pregnancy: a systematic review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yang Z,
Yao M,
Zhang C,
Hu X,
Zhong Y,
Xu X,
Yin J</span><br />
<span class="medgenPMjournal">Eur J Med Res</span>
2022 Sep 14;27(1):178.
doi: 10.1186/s40001-022-00802-z.
<span class="bold">PMID: </span><a href="/pubmed/36104763" target="_blank">36104763</a><a href="/pmc/articles/PMC9472355" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35599353">Intrahepatic cholestasis of pregnancy and maternal dyslipidemia: a systematic review and meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Zhan Y,
Xu T,
Chen T,
Wang X</span><br />
<span class="medgenPMjournal">Acta Obstet Gynecol Scand</span>
2022 Jul;101(7):719-727.
Epub 2022 May 22
doi: 10.1111/aogs.14380.
<span class="bold">PMID: </span><a href="/pubmed/35599353" target="_blank">35599353</a><a href="/pmc/articles/PMC9564710" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33915090">Ursodeoxycholic acid in intrahepatic cholestasis of pregnancy: a systematic review and individual participant data meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ovadia C,
Sajous J,
Seed PT,
Patel K,
Williamson NJ,
Attilakos G,
Azzaroli F,
Bacq Y,
Batsry L,
Broom K,
Brun-Furrer R,
Bull L,
Chambers J,
Cui Y,
Ding M,
Dixon PH,
Estiú MC,
Gardiner FW,
Geenes V,
Grymowicz M,
Günaydin B,
Hague WM,
Haslinger C,
Hu Y,
Indraccolo U,
Juusela A,
Kane SC,
Kebapcilar A,
Kebapcilar L,
Kohari K,
Kondrackienė J,
Koster MPH,
Lee RH,
Liu X,
Locatelli A,
Macias RIR,
Madazli R,
Majewska A,
Maksym K,
Marathe JA,
Morton A,
Oudijk MA,
Öztekin D,
Peek MJ,
Shennan AH,
Tribe RM,
Tripodi V,
Türk Özterlemez N,
Vasavan T,
Wong LFA,
Yinon Y,
Zhang Q,
Zloto K,
Marschall HU,
Thornton J,
Chappell LC,
Williamson C</span><br />
<span class="medgenPMjournal">Lancet Gastroenterol Hepatol</span>
2021 Jul;6(7):547-558.
Epub 2021 Apr 27
doi: 10.1016/S2468-1253(21)00074-1.
<span class="bold">PMID: </span><a href="/pubmed/33915090" target="_blank">33915090</a><a href="/pmc/articles/PMC8192305" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32716060">Pharmacological interventions for treating intrahepatic cholestasis of pregnancy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Walker KF,
Chappell LC,
Hague WM,
Middleton P,
Thornton JG</span><br />
<span class="medgenPMjournal">Cochrane Database Syst Rev</span>
2020 Jul 27;7(7):CD000493.
doi: 10.1002/14651858.CD000493.pub3.
<span class="bold">PMID: </span><a href="/pubmed/32716060" target="_blank">32716060</a><a href="/pmc/articles/PMC7389072" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30773280">Association of adverse perinatal outcomes of intrahepatic cholestasis of pregnancy with biochemical markers: results of aggregate and individual patient data meta-analyses.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ovadia C,
Seed PT,
Sklavounos A,
Geenes V,
Di Ilio C,
Chambers J,
Kohari K,
Bacq Y,
Bozkurt N,
Brun-Furrer R,
Bull L,
Estiú MC,
Grymowicz M,
Gunaydin B,
Hague WM,
Haslinger C,
Hu Y,
Kawakita T,
Kebapcilar AG,
Kebapcilar L,
Kondrackienė J,
Koster MPH,
Kowalska-Kańka A,
Kupčinskas L,
Lee RH,
Locatelli A,
Macias RIR,
Marschall HU,
Oudijk MA,
Raz Y,
Rimon E,
Shan D,
Shao Y,
Tribe R,
Tripodi V,
Yayla Abide C,
Yenidede I,
Thornton JG,
Chappell LC,
Williamson C</span><br />
<span class="medgenPMjournal">Lancet</span>
2019 Mar 2;393(10174):899-909.
Epub 2019 Feb 14
doi: 10.1016/S0140-6736(18)31877-4.
<span class="bold">PMID: </span><a href="/pubmed/30773280" target="_blank">30773280</a><a href="/pmc/articles/PMC6396441" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201%22%20AND%20systematic%5Bsb%5D%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (21)</a></div></div>
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<div class="portlet_content ln"><ul><li><a href="/gtr/tests?term=C3549845%5bDISCUI%5d&amp;filter=method%3A2%5F8" target="_blank">Deletion/duplication analysis (11)</a></li>
<li><a href="/gtr/tests?term=C3549845%5bDISCUI%5d&amp;filter=method%3A2%5F7" target="_blank">Sequence analysis of the entire coding region (18)</a></li>
<li><a href="/gtr/tests?term=C3549845%5bDISCUI%5d&amp;filter=method%3A2%5F19" target="_blank">Targeted variant analysis (3)</a></li>
<li class="portletSeeAll portletSeeAllPad"><total><a href="/gtr/tests?term=C3549845%5bDISCUI%5d" target="_blank">See all (20)</a></total></li>
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<div class="portlet_content ln"><ul><li><a href="https://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=147480" target="_blank">OMIM</a></li><li><a href="https://clinicaltrials.gov/search?cond=Cholestasis,%20intrahepatic,%20of%20pregnancy,%201" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Practice_guidelines">Practice guidelines</h1><a sid="121" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(cholestasis%2C%20intrahepatic%2C%20of%20pregnancy%2C%201)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="http://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=602397" target="_blank">OMIM</a></li><li><a href="/clinvar/?term=5205[geneid]" target="_blank">View ATP8B1 variations in ClinVar</a></li><li><a href="/nuccore/292494880" target="_blank">RefSeqGene</a></li><li><a href="https://catalog.coriell.org/Search?q=147480" target="_blank">Coriell Institute for Medical Research</a></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="https://www.malacards.org/card/cholestasis_intrahepatic_of_pregnancy_1" target="_blank">MalaCards</a></li><li><a href="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v:project=medlineplus&amp;query=Cholestasis,%20intrahepatic,%20of%20pregnancy,%201" target="_blank">MedlinePlus</a></li><li><a href="https://medlineplus.gov/genetics/condition/intrahepatic-cholestasis-of-pregnancy" target="_blank">MedlinePlusGenetics (GHR)</a></li><li><a href="https://rarediseases.info.nih.gov/diseases/15079/disease" target="_blank">NCATS Office of Rare Diseases Research (GARD)</a></li></ul></div>
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<a href="/pubmed?term=Cholestasis,%20intrahepatic,%20of%20pregnancy,%201%20AND%20humans[mesh]%20AND%20review[publication%20type]" ref="ncbi_uid=&amp;discoId=gtr_reviews&amp;linkpos=2&amp;linkpostotal=2" target="_blank">Reviews in PubMed</a>
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