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Condition Info
ConditionName
Primary Biliary Cholangitis (PBC)
ConditionDescription
Symptoms
Early symptoms: Fatigue; Itching; Later symptoms: Pruritus; Dermographism; Steatorrhea; Dry eyes and mouth; Pain in the upper right abdomen; Bone, muscle or joint (musculoskeletal) pain; Weight loss;
PhysicalFindings
Hyperpigmentation d/t melanin deposition; Splenomegaly; Edema; Ascites; Jaundice;
ClinicalTests
Bilirubin normal; ↑ALP; ↑cholesterol; Antimitochondrial antibodies (AMAs) (sensitive and specific); Most accurate: LV biopsy;
RiskFactors
Female 40-50; Autoimmune;
IsRedFlag
IsNPLEX
Consequence
Xanthelasma/xanthoma; Osteoporosis; Malabsorption; Fractures; Hypothyroidism;
ProgressionFromCondition
TreatmentOptions
Liver transplant;
PharmOptions
WebLink
https://www.merckmanuals.com/en-ca/professional/hepatic-and-biliary-disorders/fibrosis-and-cirrhosis/primary-biliary-cholangitis-pbc
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