A Woman with Recent Jaundice and Pruritus

A middle-aged woman suffering from jaundice and pruritus that had begun a month previously was presented to a physician.at the first assessment, laboratory findings had revealed a cholestatic pattern and serologic tests for hepatitis b virus (hbv), hepatitis c virus (hcv) and hepatitis a virus (hav) were negative. normal findings of abdominal computed tomography (ct) scan and endoscopic retrograde cholangiopancreatography (ercp) ruled out extrahepatic causes ofcholestasis. a liver biopsy was done and showed intrahepatic cholestasis without destruction of the bile ducts or granuloma.we assessed the intrahepatic causes of cholestasis. finally the diagnosis was confirmed by means of a simple test.