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Author5 Posts
  #1

differentiate primary biliary cirrhosis and primary sclerosing cholangitis ?

what are the definitive diagnostic tests for both ?

  #2

primary billiary cirrhosis---autoimmune ds,destuction of intra hepatic bile ducts
seen mainly in woman
ass with other autoimmune disorders like RA ,sjogren,
AMAs can be found in 90-95% of patients with PBC, and they have a specificity of 98% for this disease

PSC--focal ds involving destruction of both intrahepatic &extrahepatic bile ducts
mainly in males
ass with IBD
ERCP and percutaneous transhepatic cholangiography (PTC) remain the preferred investigations
characterstic stricture bading seen on ERCP


plz correct me if i m wrong

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  #3

agree with you smiling face

  #4

Since AMAs are so specific , when they are found in RA or sjogren does this mean that PBC definitely coexists?

  #5

M2 anti-mitochondrial antibodies are found in 90-95% of patients with primary biliary cirrhosis (PBC). A titre of greater than 50 IU/ml suggests PBC even in the absence of symptoms and in the presence of normal alkaline phosphatase

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