Case 34301

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Abstract
Presentation of Case First admission. A fifty-eight-year-old woman was admitted to the hospital complaining of pruritus and jaundice.She was perfectly well until five months before admission, when she first noted persistent generalized pruritus. Two months later the stools became lighter, and the urine became "tea colored." Two and a half months before admission the pruritus became intense, and icterus of the skin and scleras appeared. Her appetite became poor after the onset of jaundice, but in about two weeks it returned to normal. There was no abdominal pain, back pains, chills or fever. Except for an occasional sensation . . .

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