raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:69665

Intrahepatic cholestasis of pregnancy

Synonyms: Gravidic intrahepatic cholestasis · Pregnancy-related cholestasis · Recurrent intrahepatic cholestasis of pregnancy

Type
Disease
Group
Disorder
Inheritance
Multigenic/multifactorial, Not applicable
Age of onset
Adult
Status
active

Intrahepatic cholestasis of pregnancy (ICP) is a cholestatic disorder characterized by (i) pruritus with onset in the second or third trimester of pregnancy, (ii) elevated serum aminotransferases and bile acid levels, and (iii) spontaneous relief of signs and symptoms within two to three weeks after delivery.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntrahepatic cholestasis of pregnancyGravidic intrahepatic cholestasis · Pregnancy-related cholestasis · Recurrent intrahepatic cholestasis of pregnancy
frCholestase intrahépatique gestationnelleCholestase de la grossesse · Cholestase gravidique intrahépatique · Cholestase intrahépatique gestationnelle récidivante
deSchwangerschaftscholestase, intrahepatischeCholestase, schwangerschaftsbedingte · Schwangerschaftscholestase, intrahepatische rekurrente
esColestasis intrahepática gestacionalColestasis asociada al embarazo · Colestasis intrahepática gravídica · Colestasis intrahepática recurrente del embarazo
itColestasi intraepatica della gravidanzaColestasi associata alla gravidanza · Colestasi intraepatica gravidica · Colestasi intraepatica ricorrente della gravidanza
nlIntrahepatische zwangerschapscholestaseTerugkerende intrahepatische zwangerschapscholestase · Zwangerschapscholestase
ptColestase intra-hepática da gravidezColestase intra-hepática recorrente da gravidez · Colestase relacionada com a gravidez
plCholestaza wewnątrzwątrobowa ciężarnychCholestaza wewnątrzwątrobowa ciężarnych · Cholestaza związana z ciążą · Nawracająca cholestaza wewnątrzwątrobowa ciężarnych
csIntrahepatální cholestáza v těhotenstvíIntrahepatální těhotenská cholestáza · Těhotenská cholestáza · Rekurentní intrahepatální cholestáza v těhotenství
ukВнутрішньопечінковий холестаз вагітнихГравітаційний внутрішньопечінковий холестаз · Холестаз, повязаний з вагітністю · Рецидивуючий внутрішньопечінковий холестаз вагітності
zh妊娠肝内胆汁淤积症妊娠复发性肝内胆汁淤积
trİntrahepatik gebelik kolestazıGebelik-ilişkili kolestaz · Gravidik intrahepatik kolestaz · Tekrarlayan intrahepatik gebelik kolestazı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM147480BTNTvalidated
OMIM614972BTNTvalidated
ICD-10O26.6NTBTinclusionvalidated
ICD-11JA65.0NTBTindexvalidated
MONDO0100429Evalidated
MeSHC535932Evalidated
UMLSC0268318Evalidated
GARD9804Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NR1H4Candidate gene tested inNot yet assessedHGNC:7967ENSG0000001250460382612q23.1nuclear receptor subfamily 1 group H member 423142591[PMID]
ABCB11Major susceptibility factor inAssessedHGNC:42ENSG000000737346032012q31.1ATP binding cassette subfamily B member 1123022423[PMID]
ABCB4Major susceptibility factor inAssessedHGNC:45ENSG000000054711710607q21.12ATP binding cassette subfamily B member 423022423[PMID]
ATP8B1Major susceptibility factor inAssessedHGNC:3706ENSG0000008192360239718q21.31ATPase phospholipid transporting 8B115888793[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—EuropeClass onlyValidatedORPHANET_22892336[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

27 annotations · validated 2021-01-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012202Increased serum bile acid concentration
HP:0000989Pruritus
Frequent (79-30%)
HP:0025031Abnormality of the digestive system
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0100785Insomnia
Occasional (29-5%)
HP:0011117Abnormal circulating interleukin concentration
HP:0012689Abnormal pineal melatonin secretion
HP:0000716Depression
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0002904Hyperbilirubinemia
HP:0012420Meconium stained amniotic fluid
HP:0002643Neonatal respiratory distress
HP:0031248Palmar pruritus
HP:0100602Preeclampsia
HP:0030900Pruritus on foot
Very rare (<4-1%)
HP:0002027Abdominal pain
HP:0001732Abnormality of the pancreas
HP:0001541Ascites
HP:0012164Asterixis
HP:0001082Cholecystitis
HP:0000821Hypothyroidism
HP:0000952Jaundice
HP:0001622Premature birth
HP:0001518Small for gestational age
HP:0001337Tremor
Excluded (0%)
HP:0002960Autoimmunity
HP:0000988Skin rash

Run the differential on the 2 obligate / very frequent terms

Annotation source: 32034507[PMID]_32942322[PMID]_31355915[PMID]_29480924[PMID]

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Sources for this card