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What is the prevalence of Primary Biliary Cholangitis in individuals with systemic sclerosis? 


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The prevalence of Primary Biliary Cholangitis (PBC) in individuals with systemic sclerosis (SSc) ranges from about 10% to 25%. PBC is characterized by the presence of specific autoantibodies, such as antimitochondrial antibodies (AMA) and anti-centromere antibodies (ACA). Studies have shown that PBC-specific autoantibodies are found in approximately 25% of SSc patients, with overt PBC disease described in about 10% of cases. Additionally, the presence of PBC-specific serology in SSc patients was reported to be around 13%, with a significant correlation with centromere antibodies. These findings highlight the importance of actively seeking PBC in individuals with SSc to enable early diagnosis and prompt treatment, which can significantly impact disease progression and patient outcomes.

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Approximately 10% of patients with systemic sclerosis have overt Primary Biliary Cholangitis, with PBC-specific autoantibodies found in about 25% of SSc cases, highlighting the association between the two conditions.
The prevalence of Primary Biliary Cholangitis in individuals with systemic sclerosis was 115 out of 261 patients enrolled in the study, indicating a significant presence of this coexisting condition.
Approximately 25% of systemic sclerosis (SSc) patients can also have Primary Biliary Cholangitis (PBC), sharing specific antibodies, such as anti-centromere and antimitochondrial antibodies.

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Could cholangitis lead to portal vein thrombosis?5 answersCholangitis can indeed lead to portal vein thrombosis as a complication. In patients with chronic portal vein thrombosis (PVT), portal cholangiopathy, also known as portal biliopathy, is a common occurrence. Additionally, ischemic cholangitis associated with portal thrombosis has been reported, suggesting that compression by dilated veins or ischemia may play a role in biliary abnormalities. Furthermore, portal cavernoma cholangiopathy (PCC) can result from chronic portal vein thrombosis, leading to cholangiographic abnormalities due to pressure on the bile ducts. Therefore, cholangitis can contribute to the development of portal vein thrombosis, emphasizing the importance of careful management and monitoring in such cases.
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