08/08/2011
Siobhan Ma, MD; Patrick T.S. Ma, MD; Alexander K.C. Leung, MD, MBBS, FRCPC, FRCP; Alexander A.C. Leung, MD
A 50-year-old woman has a 6-month history of severe generalized itchiness and fatigability. There is no associated fever, abdominal pain, or joint pain.