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Exam questionKROK 2Medicine ยท 2006

47 y.o. patient complains of intensive skin itching, jaundice, bone pain. The skin is hyperpigmentated. There are multiple xanthelasma palpebrae. The liver is 6 cm enlarged, solid with acute edge. The blood analysis revealed total bilirubin -160 mkmol/L, direct -110 mkmol/L, AST- 2.1 mmol/L, ALT- 1,8 mmol/L, alkaline phosphotase - 4,6 mmol/L, cholesterol- 9.2 mmol/L, antimitochondrial antibodies M2 in a high titer. What is the probable diagnosis?

Answer options

  1. Primary liver cancer
  2. Acute viral hepatitis B
  3. Primary biliary liver cirrhosis
  4. Chronic viral hepatitis B
  5. Alcoholic liver cirrhosis
Correct answer

Primary biliary liver cirrhosis

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