Role of plasmapheresis in the treatment of severe pruritus in pregnant patients with primary biliary cirrhosis: Case reports

Canadian Journal of Gastroenterology

Volumn 22, Issue 5, 2008, Pages 505-507

  Alallam, Alallam ^a   Barth, David ^a   Heathcote, E Jenny ^a  

^a UNIVERSITY HEALTH NETWORK   (Canada)

Author keywords

PBC; Plasmapheresis; Pregnancy; Primary biliary cirrhosis; Pruritus

Indexed keywords

ALANINE AMINOTRANSFERASE; ALBUMIN; ALKALINE PHOSPHATASE; ANION EXCHANGE RESIN; ASPARTATE AMINOTRANSFERASE; BILIRUBIN; COLESTYRAMINE; GAMMA GLUTAMYLTRANSFERASE; MULTIVITAMIN; OPIATE ANTAGONIST; RIFAMPICIN; URSODEOXYCHOLIC ACID;

ADULT; ARTICLE; CASE REPORT; DISEASE CONTROL; DISEASE SEVERITY; DRUG DOSE INCREASE; DRUG RESPONSE; DRUG SUBSTITUTION; DRUG TREATMENT FAILURE; DRUG WITHDRAWAL; EVENING DOSAGE; FEMALE; FETUS OUTCOME; GILBERT DISEASE; HUMAN; LIVER BIOPSY; LIVER FUNCTION TEST; MORNING DOSAGE; PATIENT SAFETY; PLASMAPHERESIS; PREGNANT WOMAN; PRIMARY BILIARY CIRRHOSIS; PRIORITY JOURNAL; PRURITUS; SECOND TRIMESTER PREGNANCY; SUICIDAL IDEATION; THERAPY EFFECT; TREATMENT RESPONSE; ULTRAVIOLET B RADIATION;

ADULT; FEMALE; HUMANS; LIVER CIRRHOSIS, BILIARY; PLASMAPHERESIS; PREGNANCY; PREGNANCY COMPLICATIONS; PRURITUS;

EID: 46749083834     PISSN: 08357900     EISSN: None     Source Type: Journal    
DOI: 10.1155/2008/969826     Document Type: Article

References (22)

1. Kaplan MM, Gershwin ME. Primary bitiary cirrhosis. New Engl J Med 2005;353:1261-73.
2. Witt-Sullivan H, Heathcote J, Cauch K, et al. The demography of primary biliary cirrhosis in Ontario, Canada. Hepatology 1990;12:98-105.
3. Leuschner U. Primary biliary cirrhosis - presentation and diagnosis. Clin Liver Dis 2003;7:741-58.
4. Szalay F. Treatment of primary biliary cirrhosis. J Physiol Paris 2001;95:407-12.
5. Thornton JR, Losowsky MS. Opioid peptides and primary biliary cirrhosis. BMJ 1988;297:1501-4.
6. Heathcote EJ. Management of primary biliary cirrhosis. The American Association for the Study of Liver Diseases practice guidelines. Hepatology 2000;31:1005-13.
7. Khurana S, Singh P. Rifampin is safe for treatment of pruritus due to chronic cholestasis: A meta-analysis of prospective randomized-controlled trials. Liver Int 2006;26:943-8.
8. Bergasa NV, Ailing DW, Talbot TL, et al. Effects of naloxone infusions in patients with the pruritus of chotestasis. A double-bind, randomized, controlled trial. Ann Intern Med 1995;123:161-7.
9. Mansour-Ghanaei F, Taheri A, Froutan H, et al. Effect of oral naltrexone on pruritus in cholestatic patients. World J Gastroenterol 2006;12:1125-8.
10. McRae CA, Prince MI, Hudson M, Day CF, James OF, Jones DE. Pain as a complication of use of opiate antagonists for symptom control in cholestasis. Gastroenterology 2003;125:591-6.
11. Browning J, Combes B, Mayo MJ. Long-term efficacy of sertraline as a treatment for cholestatic pruritus in patients with primary biliary cirrhosis. Am J Gastroenterol 2003;98:2736-41.
12. Heathcote EJ, Cauch-Dudek K, Walker V, et al. The Canadian Multicenter Double-blind Randomized Controlled Trial of ursodeoxycholic acid in primary biliary cirrhosis. Hepatology 1994;19:1149-56.
13. Palma J, Reyes H, Ribalta J, et al. Ursodeoxycholic acid in the treatment of cholestasis of pregnancy: A randomized, double-blind study controlled with placebo. J Hepatol 1997;27:1022-8.
14. Ng VL, Ryckman FC, Porta G, et al. Long-term outcome after partial external biliary diversion for intractable pruritus in patients with intrahepatic cholestasis. J Pediatr Gastroenterol Nutr 2000;30:152-6.
15. Beuers U, Gerken G, Pusl T. Biliary drainage transiently relieves intractable pruritus in primary biliary cirrhosis. Hepatology 2006;44:280-1.
16. Acevedo Ribo M, Moreno Planas JM, Sanz Moreno C, et al. Therapy of intractable pruritus with MARS. Transplant Proc 2005;37:1480-1.
17. Pares A, Cisneros L, Salmeron JM, et al. Extracorporeal albumin dialysis: A procedure for prolonged relief of intractable pruritus in patients with primary biliary cirrhosis. Am J Gastroenterol 2004;99:1105-10.
18. Cohen LB, Ambinder EP, Wolke AM, Field SP, Schaffner F. Role of plasmapheresis in primary biliary cirrhosis. Gut 1985;26:291-4.
19. Warren JE, Blaylock RC, Silver RM. Plasmapheresis for the treatment of intrahepatic cholestasis of pregnancy refractory to medical treatment. Am J Obstet Gynecol 2005;192:2088-9.
20. Reyes H, Simon FR. Intrahepatic cholestasis of pregnancy: An estrogen-retated disease. Semin Liver Dis 1993;13:289-301.
21. Kreek MJ, Weser E, Sleisenger MH, Jeffries GH. Idiopathic cholestasis of pregnancy. The response to challenge with synthetic estrogen, ethinyl estradiol. N Engl J Med 1967;277:1391-5.
22. Poupon R, Chretien Y, Chazouilleres O, Poupon RE. Pregnancy in women with ursodeoxycholic acid-treated primary biliary cirrhosis. J Hepatol 2005;42:418-9.