primary sclerosing cholangitis Flashcards

1
Q

what is it

A

chronic liver disease characterised by fibrosis inflammatory destruction of both intra and extra hepatic bile ducts

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2
Q

associated with

A

IBD - mainly ulcerative colitis

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3
Q

genetics associated

A

HLA-A1-B8-DR3

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4
Q

more common in men or women

A

men

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5
Q

when is secondary PSC seen

A

patients with HIV

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6
Q

symptoms

A
  • usually always asymptomatic

but

  • fluctuating pruritus
  • jaundice
  • cholangitis
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7
Q

diagnosis

A

MRCP

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8
Q

pathology

A
  • inflammation of the intrahepatic biliary radicles

- scar tissue looks like onion tissue

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9
Q

what is only proven treatment

A

liver transplantation

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