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The Evolutionary Pattern of Primary Sclerosing Cholangitis: From a Benign to Severe Disease

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Advances in Abdominal Surgery 2002

Abstract

The natural history of primary sclerosing cholangitis (PSC) is, to say the least, puzzling in its variability, in terms of age of onset, symptoms and prognosis.[1–2] As a matter of fact there are several, unfortunately independent areas of observation: the Doctor following a patient with Ulcerative Colitis (UC) or Crohn’s Disease (CD), who sees quite a benign increase of serum alkaline phosphatase (sALP) and is not worried about it, the Hepatologist who is quite happy to have found a rare disease, or the Endoscopist willing to perform exploration and diagnosis, but little interested in the radiologic aspect.

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D’Innocenzo, S., Russo, F., Miglioresi, L., Bacosi, M., Ricci, G.L. (2002). The Evolutionary Pattern of Primary Sclerosing Cholangitis: From a Benign to Severe Disease. In: Farinon, A.M. (eds) Advances in Abdominal Surgery 2002. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0637-7_5

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