Clinical features and prognosis of primary biliary cirrhosis in Korea

Title
Clinical features and prognosis of primary biliary cirrhosis in Korea
Author(s)
이헌주김경아[김경아]정숙향[정숙향]이정일[이정일]연종은[연종은]권소영[권소영]장우임[장우임]민현주[민현주]
Keywords
alkaline proteinase; autoantibody; bacterial protein; proteinase; ursodeoxycholic acid; adult; age; aged; article; biliary cirrhosis; blood; female; hospitalization; human; liver function test; male; metabolism; middle aged; mortality; prognosis; retrospective study; South Korea; survival rate; Adult; Age Factors; Aged; Aged, 80 and over; Autoantibodies; Bacterial Proteins; Endopeptidases; Female; Humans; Liver Cirrhosis, Biliary; Liver Function Tests; Male; Middle Aged; Prognosis; Republic of Korea; Retrospective Studies; Severity of Illness Index; Survival Rate; Ursodeoxycholic Acid
Issue Date
201005
Citation
The Korean journal of hepatology, v.16, no.2, pp.139 - 146
Abstract
BACKGROUND/AIMS: This study investigated the clinical features and prognosis of primary biliary cirrhosis (PBC) in Korea. METHODS: Clinical data of patients diagnosed as PBC between 1997 and 2008 at eight referral hospitals were analyzed retrospectively. PBC was diagnosed based on liver function tests, presence of serum antimitochondrial antibody (AMA), and histopathological findings. RESULTS: In total, 251 patients (218 females, 33 males; mean age 54 years) were enrolled, and the mean follow-up duration was 33.5 months. At the diagnosis, 61% of the patients were asymptomatic, 12% had decompensated liver cirrhosis, and 98% were positive for AMA. The serum alkaline phosphate (ALP) level was 2.6 times the upper limit of normal, aspartate aminotransferase was 105 U/L, and bilirubin was 2.0 mg/dL. The mean Mayo risk score was 5.5, and the Child-Pugh class was A, B, and C in 79%, 19%, and 2% of the patients, respectively. Ursodeoxycholic acid (UDCA) was used for treatment in 88% of the patients, among which 70% exhibited biochemical responses defined as normalization or a > 40% decrease in ALP at 6 months. Eight deaths occurred during the follow-up; the causes were variceal bleeding, hepatic failure, and sepsis. The overall 5-year survival rate was 95%. The poor prognostic factors were being older than 60 years, high bilirubin, low albumin, ascites, high Mayo risk score, Child-Pugh class C, and initial presence of hepatic decompensation. CONCLUSIONS: Most patients diagnosed as PBC were asymptomatic, and these patients had a favorable short-term prognosis. The prognosis of PBC was dependent on the initial severity of liver disease.
URI
http://hdl.handle.net/YU.REPOSITORY/22433http://dx.doi.org/10.3350/kjhep.2010.16.2.139
ISSN
1738-222X
Appears in Collections:
의과대학 > 내과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE