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30 bytes added ,  03:09, 15 January 2023
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==PSC==
 
==PSC==
 
*H&P: '''Intra and extra hepatic''' bile duct '''fibrosis'''; Age 30-40; M>F; associated with IBD (UC>Crohn's); asymptomatic or presenting with fatigue, pruritic, RUQ pain
 
*H&P: '''Intra and extra hepatic''' bile duct '''fibrosis'''; Age 30-40; M>F; associated with IBD (UC>Crohn's); asymptomatic or presenting with fatigue, pruritic, RUQ pain
*Dx: Elevated ALK + bili; '''ANA, anti smooth muscle, and anti pANCA''' antibodies.
+
*Dx: Elevated ALK + bili; '''ANA, anti smooth muscle, and anti pANCA''' antibodies; bile duct dilation on imaging
 
*Tx: Ursodeoxycholic acid, cholestyramine, fat-soluble vitamins; transplant '''frequently''' required
 
*Tx: Ursodeoxycholic acid, cholestyramine, fat-soluble vitamins; transplant '''frequently''' required
  

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