Primary Sclerosing Cholangitis: Diagnostic Criteria
- PMID: 38250951
- PMCID: PMC10820917
- DOI: 10.3390/tomography10010005
Primary Sclerosing Cholangitis: Diagnostic Criteria
Abstract
Primary sclerosing cholangitis is a chronic cholestatic liver disease characterized by inflammation and fibrosis of intra- and/or extrahepatic bile ducts leading to the formation of multifocal strictures alternated to bile duct dilatations. The diagnosis of the most common subtype of the disease, the large duct PSC, is based on the presence of elevation of cholestatic indices, the association of typical cholangiographic findings assessed by magnetic resonance cholangiography and the exclusion of causes of secondary sclerosing cholangitis. Liver biopsy is not routinely applied for the diagnosis of large duct PSC but is mandatory in the case of suspicion of small duct PSC or overlap with autoimmune hepatitis.
Keywords: PSC; chronic cholestasis; histological scoring system; liver biopsy; magnetic resonance cholangiography; magnetic resonance imaging; rare liver disease.
Conflict of interest statement
The authors declare no conflicts of interest related to this study.
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