Primary Sclerosing Cholangitis - Signs and Symptoms

Signs and Symptoms

PSC is characterized by recurrent episodes of cholangitis, with progressive biliary scarring and obstruction.

  • Chronic fatigue (a non-specific symptom often present in liver disease)
  • Severe jaundice with intense itching
  • Malabsorption (especially of fat) and steatorrhea (fatty stool) due to biliary obstruction, leading to decreased levels of the fat-soluble vitamins, A, D, E and K.
  • Signs of cirrhosis
  • Hepatomegaly
  • Portal hypertension
  • Ascending cholangitis, or infection of the bile duct.
  • Dark urine due to excess conjugated bilirubin, which is water soluble, being excreted by the kidneys
  • Hepatic encephalopathy

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