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10.3748/wjg.v23.i14.2459

http://scihub22266oqcxt.onion/10.3748/wjg.v23.i14.2459
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suck abstract from ncbi


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pmid28465630
      World+J+Gastroenterol 2017 ; 23 (14 ): 2459-2469
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  • Pathogenesis and clinical spectrum of primary sclerosing cholangitis #MMPMID28465630
  • Gidwaney NG ; Pawa S ; Das KM
  • World J Gastroenterol 2017[Apr]; 23 (14 ): 2459-2469 PMID28465630 show ga
  • Primary sclerosing cholangitis (PSC) is a disease of the biliary tract, which has been documented in the literature since 1867. This disease has a strong predilection for affecting men and can be seen in individuals as young as 2 years of age. PSC has a strong associated with inflammatory bowel disease, more commonly with ulcerative colitis, and is also part of the clinical spectrum of IgG4-related diseases. Small-duct PSC, a variant of PSC, also has an association with inflammatory bowel disease. The exact pathogenesis of PSC is not well understood at present, however, is likely a combination of a genetic predisposition with alteration of the molecular structure of the gut. Abnormal serum liver chemistry and presence of certain autoimmune markers are usually the first indicators leading to a diagnosis of PCS, however, these may often be normal in early stages of this disease. The diagnosis is made by cholangiography, which is now considered the gold standard. PSC is a known pre-malignant condition. Such patients have an increased risk of developing cholangiocarcinoma, gallbladder neoplasia, and colon cancer. Many new treatment modalities have emerged in the recent past, including anti-tumor necrosis factor- ? and anti-integrins; however, liver transplantation is the only known cure for PSC. Despite past and present research, PSC remains an enigmatic biliary disease with few viable treatment options.
  • |Animals [MESH]
  • |Autoimmune Diseases/*complications/immunology [MESH]
  • |Cholangitis, Sclerosing/*etiology/genetics/immunology/therapy [MESH]
  • |Genetic Predisposition to Disease [MESH]
  • |Humans [MESH]
  • |Inflammation Mediators/immunology/metabolism [MESH]
  • |Inflammatory Bowel Diseases/*complications/immunology [MESH]
  • |Intestinal Mucosa/metabolism [MESH]
  • |Intestines/immunology [MESH]
  • |Phenotype [MESH]
  • |Predictive Value of Tests [MESH]
  • |Prognosis [MESH]


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