Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports

BACKGROUND: Primary biliary cirrhosis (PBC) may be associated with pruritus and, when present, may be accentuated during pregnancy. Several therapeutic modalities have been used to control itching caused by cholestasis, with variable responses. Drug therapies are ill-advised, particularly in early p...

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Main Authors: Alallam Alallam, David Barth, E Jenny Heathcote
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2008/969826
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author Alallam Alallam
David Barth
E Jenny Heathcote
author_facet Alallam Alallam
David Barth
E Jenny Heathcote
author_sort Alallam Alallam
collection DOAJ
description BACKGROUND: Primary biliary cirrhosis (PBC) may be associated with pruritus and, when present, may be accentuated during pregnancy. Several therapeutic modalities have been used to control itching caused by cholestasis, with variable responses. Drug therapies are ill-advised, particularly in early pregnancy. Plasmapheresis has been successful in controlling pruritus in patients with cholestasis. The use of plasmapheresis to alleviate severe life-threatening pruritus during pregnancy is reported in two patients with PBC.
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series Canadian Journal of Gastroenterology
spelling doaj-art-f3c160765dbe4d66aa24590a97b09dad2025-02-03T06:08:28ZengWileyCanadian Journal of Gastroenterology0835-79002008-01-0122550550710.1155/2008/969826Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case ReportsAlallam Alallam0David Barth1E Jenny Heathcote2Department of Medicine, University Health Network, University of Toronto, Ontario, CanadaDepartment of Medicine, University Health Network, University of Toronto, Ontario, CanadaDepartment of Medicine, University Health Network, University of Toronto, Ontario, CanadaBACKGROUND: Primary biliary cirrhosis (PBC) may be associated with pruritus and, when present, may be accentuated during pregnancy. Several therapeutic modalities have been used to control itching caused by cholestasis, with variable responses. Drug therapies are ill-advised, particularly in early pregnancy. Plasmapheresis has been successful in controlling pruritus in patients with cholestasis. The use of plasmapheresis to alleviate severe life-threatening pruritus during pregnancy is reported in two patients with PBC.http://dx.doi.org/10.1155/2008/969826
spellingShingle Alallam Alallam
David Barth
E Jenny Heathcote
Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports
Canadian Journal of Gastroenterology
title Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports
title_full Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports
title_fullStr Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports
title_full_unstemmed Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports
title_short Role of Plasmapheresis in the Treatment of Severe Pruritus in Pregnant Patients with Primary Biliary Cirrhosis: Case Reports
title_sort role of plasmapheresis in the treatment of severe pruritus in pregnant patients with primary biliary cirrhosis case reports
url http://dx.doi.org/10.1155/2008/969826
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AT ejennyheathcote roleofplasmapheresisinthetreatmentofseverepruritusinpregnantpatientswithprimarybiliarycirrhosiscasereports