Natural history and demography of primary biliary cirrhosis

  • Chapter
Primary Biliary Cirrhosis
  • 81 Accesses

Abstract

It will be impossible to deal at length with both the full natural history and demography of primary biliary cirrhosis in this short space. This will, therefore, be a review in three parts. The first will examine what we know about the early natural history of PBC and is intended to be read in conjunction with Chapter 9 by W. R. Kim and E. R. Dickson on Natural History Models of Primary Biliary Cirrhosis which will focus on the later clinical course of the disease. The second part will be a brief critical review of what we know of the world-wide distribution of PBC. In the third part, the preliminary results of a major case-finding study of the epidemiology of PBC in northeastern England will be described. This will include information about the presentation and natural history of 770 patients, prevalent and incident, in a strict geographical area between the years 1987 and 1994 with follow-up data for a median of 6.3 years.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 117.69
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 160.49
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
EUR 160.49
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Mitchison HC, Bassendine MF, Hendrick A, et al.Positive antimitochondrial antibody, but normal alkaline phosphatase. Is this primary biliary cirrhosis? Hepatology 1986;6:1279–84.

    Article  PubMed  CAS  Google Scholar 

  2. Metcalf JV, Mitchison HC, Palmer JM, Joncs DE, Bassendine MF, James OFW. Natural history of early primary biliary cirrhosis. Lancet 1996;348:1399–402.

    Article  PubMed  CAS  Google Scholar 

  3. Lindor KD. Early primary biliary cirrhosis: just delayed or different? Hepatology 1997;26:239–40.

    Article  PubMed  CAS  Google Scholar 

  4. Long RG, Scheuer PJ, Sherlock S. Presentation and course of asymptomatic primary biliary cirrhosis. Gastroenterology 1977;72:1204–7.

    PubMed  CAS  Google Scholar 

  5. Mitchison HC, Lucey MR, Kelly PJ, et al.Symptom development and prognosis in primary cirrhosis: a study in two centres. Gastroenterology 1990;99:778–84.

    PubMed  CAS  Google Scholar 

  6. Balasubramanian K, Grambsch PM, Wiesner RH, et al.Diminished survival in asymptomatic primary biliary cirrhosis: a prospective study. Gastroenterology 1990;98:1567–71.

    Google Scholar 

  7. Mahl RC, Shockcor W, Boyer IL. Primary biliary cirrhosis: survival of a large cohort of symptomatic and asymptomatic patients followed for 24 years.J Heaol 1994;20:707–13.

    CAS  Google Scholar 

  8. Hamlyn AN, Sherlock S. The epidemiology of primary biliary cirrhosis: a survey of mortality in England and Wales. Gut 1974;15:473–9.

    Article  PubMed  CAS  Google Scholar 

  9. Metcalf JV, James OFW. The geoepidemiology of primary biliary cirrhosis. Semin Liver Dis 1997;17:13–22.

    Article  PubMed  CAS  Google Scholar 

  10. Metcalf JV, Gray J, Howell D, Bhopal RS, James OFW. Incidence and prevalence of primary biliary cirrhosis in the city of Newcastle upon Tyne, England. Int J Epidemiol 1997;26:830–6.

    Article  PubMed  CAS  Google Scholar 

  11. Myszor M, James OFW. The epidemiology of primary biliary cirrhosis in northern England: an increasingly common disease? Q J Med 1990;75:377–85.

    PubMed  CAS  Google Scholar 

  12. Kingham JGC, Parker DR. The association between primary biliary cirrhosis and coeliac disease: a study of relative prevalences. Gut 1998;42:120–2.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

James, O.F.W. (1998). Natural history and demography of primary biliary cirrhosis. In: Lindor, K.D., Heathcote, E.J., Poupon, R. (eds) Primary Biliary Cirrhosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4884-9_1

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-4884-9_1

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6047-9

  • Online ISBN: 978-94-011-4884-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Navigation