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We describe a diagnostically challenging case of an immunosuppressed woman with scleroderma who developed deranged liver function tests attributed to intrahepatic cholestasis of pregnancy and haemolysis, elevated liver enzymes and low platelets syndrome but was ultimately found to have disseminated cytomegalovirus. Cytomegalovirus can present in a myriad of ways. Clinicians caring for immunocompromised pregnant women should consider cytomegalovirus as a possible differential diagnosis when reviewing abnormal liver function tests. <\/jats:p>","DOI":"10.1177\/1753495x16641807","type":"journal-article","created":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T04:04:29Z","timestamp":1462507469000},"page":"135-137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Cytomegalovirus may mimic the presentation of intrahepatic cholestasis and hemolysis, elevated liver enzymes and low platelets in immunosuppressed pregnant women"],"prefix":"10.1177","volume":"9","author":[{"given":"Gurleen","family":"Wander","sequence":"first","affiliation":[{"name":"De Swiet Obstetric Medicine Centre, Queen Charlotte\u2019s & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesa","family":"Neuberger","sequence":"additional","affiliation":[{"name":"De Swiet Obstetric Medicine Centre, Queen Charlotte\u2019s & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandish K","family":"Dhanjal","sequence":"additional","affiliation":[{"name":"De Swiet Obstetric Medicine Centre, Queen Charlotte\u2019s & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Nelson-Piercy","sequence":"additional","affiliation":[{"name":"De Swiet Obstetric Medicine Centre, Queen Charlotte\u2019s & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"May Ching","family":"Soh","sequence":"additional","affiliation":[{"name":"De Swiet Obstetric Medicine Centre, Queen Charlotte\u2019s & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK"},{"name":"Silver Star Unit, Women\u2019s Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, Oxfordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,8]]},"reference":[{"key":"bibr1-1753495X16641807","unstructured":"Soh MC and Nelson-Piercy C. 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