Primary biliary cirrhosis vs primary sclerosis cholangotis

Discussion in 'Step II' started by surgicel, Sep 27, 2014.

  1. SDN is made possible through member donations, sponsorships, and our volunteers. Learn about SDN's nonprofit mission.
  1. surgicel

    surgicel 2+ Year Member

    90
    3
    Jul 18, 2013
    So looking at my first aid from step 1 both will have an Inc in conjugated bilirubin, but MTB says that primary biliary cirrhosis has normal bilirubin? Is this an absolute or it can be normal or elevated thing?
     
  2. SDN Members don't see this ad. About the ads.
  3. Apoplexy__

    Apoplexy__ Blood-and-thunder appearance Bronze Donor 2+ Year Member

    1,151
    1,425
    Oct 20, 2012
    Up on the Hydra's back
    I dunno how often it would be normal, but I would definitely associate PBC with cholestasis (and therefore inc. conjugated bilirubin). I've seen UWorld questions that test this connection.
     
  4. Phloston

    Phloston Lifetime Donor 5+ Year Member

    3,607
    1,192
    Jan 17, 2012
    Osaka, Japan
    Physician
    SDN Author
    My guess would be that bilirubin would actually be variable in both. It is likely that you might see increased direct (conjugated) in either.

    The giveaway is that PBC is almost always associated with high cholesterol and pruritis. PSC is usually seen with IBD and elevated ALP.
     

Share This Page