AssessmentsPrimary sclerosing cholangitis
Primary sclerosing cholangitis
Primary sclerosing cholangitis is a liver disorder that involves inflammation and "onion skin" fibrosis of bile ducts.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 40-year-old woman comes into the emergency department because of increasing fatigue over the past two weeks. She reports feeling ill a few weeks ago with fever, chills, and abdominal pain. Her temperature is 37.9°C (100.2°F), pulse is 75/min, respirations are 15/min, and blood pressure is 120/85 mm Hg. Physical exam shows no abnormalities. Serum aminotransferase concentration is 290 U/L, and serum alkaline phosphatase is 100 U/L. Cholangiography shows multifocal stricturing and dilation of both the intrahepatic and extrahepatic bile ducts. Which of the following may also be associated?