Which of the following symptoms is NOT typically associated with acute fatty liver of pregnancy?

Acute fatty liver of pregnancy (AFLP) is a rare but serious condition that typically occurs in the third trimester and is marked by the accumulation of fat in liver cells. This condition is associated with a variety of symptoms, including hypoglycemia, right upper quadrant (RUQ) pain, and nausea/vomiting.

Hypoglycemia occurs due to impaired gluconeogenesis, resulting from liver dysfunction, which can lead to low blood sugar levels. RUQ pain arises from liver enlargement and potential inflammation, leading to discomfort in the upper right abdomen. Nausea and vomiting are common symptoms due to liver involvement and the resulting metabolic disturbances.

In contrast, a rash is not a typical symptom associated with acute fatty liver of pregnancy. While some pregnant individuals may experience a rash due to other conditions or pregnancy-related changes, it is not characteristic of AFLP. Therefore, the correct response reflects that rash is not a symptom usually seen in the context of this condition.