Nuray KIVANÇ TERZİ, Mehmet Sidar GÜLER, Dursun ÇADIRCI, Ahmet UYANIKOĞLU

Yeni Tanı Primer Biliyer Kolanjitli Hasta: Olgu Sunumu

Primer biliyer kolanjit (PBK) etiyolojisi bilinmeyen, çoğunlukla orta yaş kadınların etkilendiği, küçük safra kanallarında hasarın eşlik ettiği, yavaş ilerleyen, kronik kolestatik granülomatöz bir karaciğer hastalığıdır. PBK, portal hipertansiyon veya karaciğer yetmezliği gibi ciddi hastalıklara neden olup sonrasında siroza ilerleyebilir. Bu vakada olduğu gibi non-spesifik semptomlarla gelebileceği unutulmamalı, ayrıntılı anamnez ve şüphelenilen hastalarda gerekli laboratuvar tetkikleri ile tanı kesinleştirilmelidir.

Anahtar Kelimeler:

PBK, AMA, kaşıntı

Newly Diagnosed Patient with Primary Biliary Cholangitis: Case Report

Primary biliary cholangitis (PBC) is a slowly progressive chronic cholestatic granulomatous liver disease of unknown etiology, mostly affected by middle-aged women, accompanied by damage to the small bile ducts. PBK can cause serious diseases such as portal hypertension or liver failure and then progress to cirrhosis. As in this case, it should not be forgotten that it may come with non-specific symptoms, detailed history and diagnosis should be confirmed with necessary laboratory tests in patients suspected.

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Santiago P, Scheinberg AR, Levy C. Cholestatic liver diseases: new targets, new therapies. Therapeutic Advances in Gastroenterology. 2018;11(1):1-15.
.Gershwin ME, Mackay IR. The causes of primary biliary cirrhosis: convenient and in convenient truths. Hepatology. 2008;47(2):737-745.
Tkcv.org [homepage on the Internet]. Primer biliyer kolanjit (Primer-biliyer siroz) Türkiye-Azerbaycan Ortak Hepatoloji Kursu [updated 29 Eylül 2017; cited mart 2020] Available from: www.tkcv.org
Malik A, Kardashian AA, Zakharia K, Bowlus CL, Tabibian JH. Pre-ventative care in cholestatic liver disease: Pearls for the specialist and subspecialist. LiverResearch. 2019;3(2):118-127.
Corpechot C, Poupon R, Chazouilleres O. New treatments / targets for primary biliary cholangitis. JHEP Reports. 2019;1(3):203-21.
Culp KS, Fleming CR, Duffy J, Baldus WP, Dickson ER. Autoimmune associations in primary biliary cirrhosis. Mayo Clin Proc. 1982;57(6):365-370.
Palabıyıkoğlu M. Primer Biliyer Siroz. Turkiye Klinikleri Journal of Microbiology Infection. 2003;2(3):166-172.
Ghent CN, Bloomer JR, Klatskin G. Elevations in skin tissue levels of bile acids in human cholestasis: relationto serum levels and to pruritus. Gastroenterology. 1977;73(5):1125–1130.
Tekin F, Görümlü G, Yüce G, Soydan S, Özütemiz Ö, İlter T. Multipl myelom ve primer biliyer siroz birlikteliği: Olgu sunumu. Akademik Gastroenteroloji Dergisi. 2008;7(2):111-113.
Christensen E, Crowe J, Doniach D, Popper H, Ranek L, Rodes J, et al. Clinical pattern and course of disease in primary biliary cirrhosis based on analysis of 236 patients. Gastroenterology. 1980; 78(2):236-46.
Nijhawan PK, Therneau TM, Dickson ER, Boynton J, Lindor K D. Incidence of cancer in primary biliary cirrhosis: the Mayo experience. Hepatology. 1999; 29(5):1396-1398.
Goudie BM, Burt AD, Boyle P, Macfarlane G, Birnie GG, Mills PR, et al. Breast cancer in women with primary biliary cirrhosis. BMJ 1985; 291(6509):1597-1598.