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A Middle-Aged Woman with Elevated Serum CA19-9 and Lymphadenopathy

      Primary biliary cholangitis is a rare liver disorder, characterized by slow progression of cholestasis and the development of liver cirrhosis. Most patients are middle-aged women; the ratio of women to men has been reported to be 6.1:1.0.
      • Lleo A
      • Wang GQ
      • Gershwin ME
      • et al.
      Primary biliary cholangitis.
      Primary biliary cholangitis patients are often asymptomatic or experience only general fatigue when diagnosed. However, in some cases, the primary biliary cholangitis patients present with symptoms similar to malignancies, which makes diagnosis difficult.
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