Table 2.
Clinical features | Prevalence | Mechanism |
Fatigue | 20%-85%[55,56,58] | Excessive manganese deposits in globus pallidum, elevated inflammatory cytokines |
Pruritus | 20%-75%[35,58] | Cholestasis, increased opiodergic tone |
Jaundice | 10%-60%[58] | Cholestasis |
Xanthomas | 15%-50%[58] | Hypercholesterolemia and hyperlipidemia[56] |
Osteoporosis | 35%[59] | Disturbances in bone remodeling due to metabolic changes in PBC |
Dyslipidemia | > 75%[60] | Reduction in biliary secretion of cholesterol. Toxic effects of unconjugated bilirubin |
PBC: Primary biliary cirrhosis.