A 23 yr primi 33 weeks pregnancy presented with jaundice for 2 days .On examination her BP 140/90mmhg , Serum bilirubin 5mg %, Hb 8gm%, Platelet count 90,000/ cu.mm, TLC 10,000/ cu.mm , Blood sugar 40mg/dl . AST and ALT were 85 and 80 IU/L. What is the probable diagnosis?
Acute fatty liver of pregnancy manifests during Third trimester findings seen in Acute fatty liver of pregnancy : Hypofibrinogenemia and prolonged clotting studies Hyperbilirubinemia (usually < 10 mgldl) Serum transaminase level of 300 to 500 u/l peripheral blood, Hemoconcentration, leukocytosis ,mild thrombocytopenia. Hemolysis
Acute Hepatitis A
Acute fatty liver in pregnancy
HELLP syndrome
Acute hepatitis E
JIPMER 2018