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Recurrent acute fatty liver of pregnancy has been reported in mothers expressing heterozygous long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency.31,32,34 Ursodeoxycholic acid, at dosages of 15 mg per kg per day, has been the most successful girls with fat ass therapy for cholestasis of pregnancy. The treatment of acute fatty liver of pregnancy is expeditious delivery and intensive care. Patients girls with fat ass usually improve promptly following delivery and, in the absence of long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency, the girls with fat ass prognosis in pregnancies following acute fatty liver of pregnancy is good. Hepatic Rupture and Infarction Hepatic rupture and infarction, extremely rare complications of preeclamptic liver disease, usually occur in the third trimester.4
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