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23rd April 2024
A 37-year-old female with PBC presents to the liver clinic. She was commenced on ursodeoxycholic acid
A 37-year-old female with PBC presents to the liver clinic. She was commenced on ursodeoxycholic acid 2 years ago for PBC. Despite this, her fatigue and itch have persisted.
Her blood tests 1 year ago and at today’s clinic are shown below:
| 1 year ago | Today | |
|---|---|---|
| Haemoglobin | 125g/L | 122g/L |
| White Cell Count | 4×10⁹/l | 5×10⁹/l |
| Platelets | 200 x10⁹/l | 118 x10⁹/l |
| INR | 1.2 | 1.9 |
| Urea | 3.4 mmol/l | 5.1 mmol/l |
| Sodium | 136 mmol/l | 131 mmol/l |
| Potassium | 3.9 mmol/l | 4.1 mmol/l |
| Creatinine | 40 µmol/l | 70 µmol/l |
| Bilirubin | 35 μmmol/l | 85 μmmol/l |
| Alkaline Phosphatase | 200 μmmol/l | 350 μmmol/l |
| ALT | 32 iu/l | 40 iu/l |
| AST | 28 iu/l | 35 iu/l |
| Albumin | 31 g/l | 27 g/l |
| CRP | 12 mg/l | 15 mg/l |
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