You Break the Cocoon, I Become a Butterfly
Abstract：As usual, I was on duty in the outpatient clinic when a 30-year-old pregnant woman (Xiaohé) came for her checkup. She looked no different from other pregnant women coming for prenatal visits. However, a lab report in her hand made me widen my eyes. Her two transaminase levels were as high as 500-1000 U/L, which is uncommon in pregnant women during the second trimester. Further inquiry revealed that this was her first pregnancy. At four months, she had experienced an unexplained rash, which resolved on its own after two days. The rash reappeared after eating fish and shrimp, mainly on her back and limbs. She was diagnosed with allergic urticaria at another hospital and improved after topical medication. At five months pregnant, she unexpectedly found mild elevation of transaminase and developed fever up to 40.4°C. After one week of antibiotic treatment, her temperature dropped to around 37°C. However, during this follow-up, her transaminase levels had significantly increased. What was the cause?
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Publication Date：2025-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 71-72 )