Discussions By Condition: Liver conditions

Potential PSC diagnosis

Posted In: Liver conditions 3 Replies
  • Posted By: Joels410
  • January 19, 2007
  • 10:24 PM

I am a 25 yr old male with crohn's disease. I apparently have had high ALP levels (130-150) for the past 3 years. They do not appear to be increasing. I had an MRCP done and i was told it indicated some inflation by my gastro doctor. I had an ERCP completed and the doctors performing the procedure said that based on the MRCP and ERCP they cannot come to a conclusion. They did note some area of inflamation in my bile duct but cannot at this point call is PSC. They said it MAY be early indications of psc but if i didn't have crohn's a PSC potential wouldn't be on the radar. I have had crohn's for 12 years and have had some arthiritic symptoms and have had a fistulae that was treated with cipro for year and has since been not treated for the past 2-3 years. I have no symptoms or pain. I am wondering what this could be if it is not PSC. COuld it be related to the fistulae or be a random swelling for no reason or what. Any info would be helpful.

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3 Replies:

  • Has your physician mentioned performing a liver biopsy? My son was diagnosed that way.Good luckab
    Anonymous 42789 Replies
    • February 1, 2007
    • 10:43 PM
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  • They did not think it was necessary due to my blood work and scan's. They didn't seem to think that would tell them anything new. Was your son's ERCP and other blood work indicitive of PSC or did they determine PSC purely based on the Liver biopsy.Thanks for your reply.
    Anonymous 42789 Replies
    • February 3, 2007
    • 05:50 PM
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  • It has been 2 years now and the Docotors have monitored my ALP levels about 4-5 times per years. MY levels have decreased and have been normal 100-120 with the last 3 tests at 101, 100 and 95. My doc's are saying that they do not believe i have PSC and that the liver can do funny things with crohn's due to inflammation. They indicated that PSC would show elevated ALP's and they would not return to normal like this. Wondering if anyone has thoughts, ideas or anything regarding what the doc's are saying.Thanks,Joels410
    Joels410 3 Replies
    • November 13, 2008
    • 02:57 AM
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