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Cholestatic Pruritus Across the Age Spectrum: What Are You Missing?

When considering cholestatic pruritus across the age spectrum, a key point to remember is that while the underlying mechanism is similar, pediatric patients often present with unique challenges in diagnosis and management due to factors like limited communication abilities, potential side effects of medications, and the need for careful dosage adjustments; additionally, older adults might have co-morbidities that complicate treatment and require a more nuanced approach to managing pruritus

Abstract Library

Unlocking Boundless Knowledge Through Abstracts

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[Clinical features and genetic analysis of a child with Progressive familial intrahepatic cholestasis type 5 due to variant of NR1H4 gene].

06/10/2026

Dong Mengjun (M);Xia Zhiyi (Z);Li Suli (S);Zhao Yanbing (Y);Zhou Fang (F)

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Driving HCV Elimination Through Dedicated Hospital-Based Teams and Pathways: A Retrospective and Prospective Study.

06/01/2026

Torre Pietro (P);Serretiello Enrica (E);Di Siervi Giuseppe (G);Vaccaro Emilia (E);Sarcina Tommaso (T);Festa Mariano (M);Folliero Veronica (V);Masarone Mario (M);Franci Gianluigi (G);Persico Marcello (M)

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Risk of Intrahepatic and Extrahepatic Cancers in Hepatitis C Virus Infection: A Nationwide Cohort Study in Korea, 2005-2023.

06/01/2026

Park Yoon (Y);Kim Byung-Woo (BW);Oh Jin-Kyoung (JK);Kim Bo Hyun (BH);Park Sang-Jae (SJ);Kim Kyung-Ah (KA);Ki Moran (M)

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Fibrotic NASH Index (FNI) Is Associated with Long-Term Mortality in Individuals with Type 2 Diabetes and MASLD.

06/01/2026

Barchetta Ilaria (I);Cimini Flavia Agata (FA);Dule Sara (S);Passarella Giulia (G);Oldani Alessandro (A);Hirsch Maria Neve (MN);Cirelli Marta (M);Alfano Marta (M);Cavallo Maria Gisella (MG)

FAQ's

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FAQ: What Are the Current Strategies for Managing Pruritus in Patients With PBC?

02/10/2026

In this educational video, Christopher Bowlus, MD, the Chief of Gastroenterology at the University of California Davis and Lena Valente Professor, provides a comprehensive overview of current pharmacologic and non-pharmacologic strategies for managing pruritus (itch) in patients with Primary Biliary Cholangitis (PBC). He explains why pruritus is one of the most common and under recognized symptoms of PBC, affecting up to 80% of patients, and highlights the importance of proactively asking patients about itch using validated tools such as the Numeric Rating Scale (NRS). The discussion explores how itch impacts quality of life, sleep, and social functioning, and reviews practical assessment strategies in clinical practice. Dr. Bowlus walks through conservative measures, historical therapies such as bile acid sequestrants and antihistamines, and their limitations, before focusing on emerging evidence-based treatments that target the underlying cholestatic mechanisms of itch. He reviews the role of PPAR agonists, including newer agents studied in phase 3 trials, as well as intestinal bile acid transport (IBAT) inhibitors that may soon expand available treatment options. The video concludes with a practical framework for individualized symptom management, emphasizing that effective control of pruritus can meaningfully improve patient outcomes and overall quality of life in PBC.

2026

Medication Review Video's