Last updated on:June 6th, 2021
A 45-year-old woman presents with jaundice and pruritus for two weeks. No other symptoms are present. She had a similar episode one year ago, which lasted for a week and resolved spontaneously. She did not seek medical advice at that time. Her medical and surgical histories are otherwise unremarkable. Specifically, there is no history of hepatitis B or C infection. There is no history of acetaminophen (paracetamol) use. She is not on any medications, over-the-counter drugs, or supplements. There is no family history of autoimmune disease or gastrointestinal disorders. There is no history of sick contacts. She denies intravenous drug abuse. She has never been transfused with blood products. She has had a single stable sexual partner for a decade now. She only drinks socially. A full blood count is within normal parameters.