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January 1968

Jaundice During Pregnancy With Special Emphasis on Recurrent Jaundice During Pregnancy and Its Differential Diagnosis.

Arch Intern Med. 1968;121(1):108-109. doi:10.1001/archinte.1968.03640010110026

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This small monograph (which is also published in Acta Med Scand, suppl 444, 1966) surveys most of the current literature on jaundice during pregnancy, adds six instances of recurrent jaundice from the author's experience, and expresses his view of the taxonomy and importance of this disease. Not everyone will agree with the author's views, but they are reasonably well set forth.

First, is a clear and well-documented discussion of the liver in normal pregnancy. This is followed by sections on jaundice during pregnancy with particular attention to recurrent jaundice. By far the most frequent circumstance producing jaundice during pregnancy is viral hepatitis: 189 of 456 instances of jaundice in 15 published series. The author notes that this disease is not any more frequent among pregnant subjects than in the general population nor is it necessarily more severe. In fact, it is observed that hepatitis during pregnancy is not an indication

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