Clinical Updates in Primary Biliary Cholangitis: Trends, Epidemiology, Diagnostics, and New Therapeutic Approaches
Artin Galoosian, Courtney Hanlon, Julia Zhang, Edward W. Holt, Kidist Yimam
Abstract
Primary biliary cholangitis, formerly known as primary biliary cirrhosis, is a chronic, autoimmune, and cholestatic disease ameliorating the biliary epithelial system causing fibrosis and end-stage liver disease, over time. Patients range from an asymptomatic phase early in the disease course, to symptoms of decompensated cirrhosis later in its course. This review focuses on the current consensus on the epidemiology, diagnosis, and management of patients with primary biliary cholangitis. We also discuss established medical management as well as novel and investigational therapeutics in the pipeline for management of PBC.
Topics & Concepts
MedicinePrimary biliary cirrhosisAsymptomaticObeticholic acidEpidemiologyBiliary cirrhosisPrimary sclerosing cholangitisGastroenterologyInternal medicineDiseaseStage (stratigraphy)CirrhosisIntensive care medicineBiliary diseaseAutoimmune diseaseAgonistPaleontologyReceptorBiologyLiver Diseases and ImmunityPediatric Hepatobiliary Diseases and TreatmentsGallbladder and Bile Duct Disorders