TY - CHAP M1 - Book, Section TI - Liver Disease A1 - Smith, Mindy A. A1 - Mathai, Angie A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 64-year-old woman presents with complaints of itchy skin and fatigue. She is noted on physical examination to have scleral icterus and jaundice (Figure 63-1). Laboratory testing revealed elevated liver enzymes, particularly the serum alkaline phosphatase and γ-glutamyltranspeptidase, and positive antinuclear and anti-mitochondrial antibodies. A liver biopsy confirmed primary biliary cirrhosis. Two months later, she vomited up some blood and on endoscopy was found to have esophageal varices from her portal hypertension (Figure 63-2). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1164347716 ER -