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A correction has been published 1

Case Records of the Massachusetts General Hospital

Case 39-2010 — A 19-Year-Old Woman with Nausea, Jaundice, and Pruritus

Lawrence S. Friedman, M.D.,
Michael S. Gee, M.D., Ph.D.,
and Joseph Misdraji, M.D.

A 19-year-old woman was transferred to this hospital because of nausea, jaundice, and pruritus. She was 3 months post partum. Examination revealed no spider angiomas, palmar erythema, telangiectasias, abdominal tenderness, or organomegaly. Bilirubin and aminotransferase levels were elevated.

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Funding and Disclosures

This case was presented at the Medicine Case Conference, December 11, 2009.

Dr. Friedman reports receiving royalties from Elsevier USA and UpToDate.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No other potential conflict of interest relevant to this article was reported.

This article (10.1056/NEJMcpc1005309) was updated on November 16, 2011, at NEJM.org.

We thank Drs. Anna Rutherford, Raymond Chung, Peter Noseworthy, and David Sykes (Medicine) for contributions to the case history and preparation of the conference and manuscript.

Author Affiliations

From the Departments of Medicine (L.S.F.), Radiology (M.S.G.), and Pathology (J.M.), Massachusetts General Hospital; the Departments of Medicine (L.S.F.), Radiology (M.S.G.), and Pathology (J.M.), Harvard Medical School; and the Department of Medicine, Tufts University School of Medicine (L.S.F.) — all in Boston; and the Department of Medicine, Newton–Wellesley Hospital, Newton, MA (L.S.F.).

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