Primary biliary cirrhosis. Is (and how much of) the pathology preventible?

Abstract:

:Primary biliary cirrhosis (PBC) is a chronic, progressive cholestatic liver disease, which is invariably fatal. Circumstantial and indirect evidence suggests that autoimmune mechanisms have a role in the pathogenesis of PBC. Antimitochondrial antibodies (AMA) are highly sensitive and specific markers that can predict the development of the disease in a healthy individual. Long-term administration of ursodeoxycholic acid (UDCA), a naturally occurring bile acid, safely slows the progression of PBC, delays the need for liver transplantation, and postpones death. An effort should be made to identify the patients with PBC in the asymptomatic stage by the presence of AMA and to conduct a clinical trial in order to assess the benefit of long-term administration of UDCA on the prevention of the overt disease in these individuals.

journal_name

Immunol Res

journal_title

Immunologic research

authors

Bar-Dayan Y,Gershwin ME,Levi Y,Amital H,Shoenfeld Y

doi

10.1007/BF02788754

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

117-23

issue

2

eissn

0257-277X

issn

1559-0755

journal_volume

18

pub_type

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