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Orthopedic surgery is a last resort, but we can do that too if necessary

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Shi Y, Chichung Lie D, Taupin P, Nakashima K, Ray J, Yu RT, et al

Introduction Chronic cholestatic syndrome characterized by fibrosing inflammation in the intrahepatic and extrahepatic bile duct onset usually insidious leads to narrowing and, eventually, obliteration of the bile ducts Cause of primary sclerosing cholangitis (PSC) is unknown PSC occurs most often in young men ( 50% typical of obstructive pattern no urine urobilinogen low urine urobilin Endoscopic retrograde cholangiography (ERCP) give the biliary tree an irregular beaded appearance Treatment Liver transplantation prior to liver failure is a possibility in selected cases Prognosis, Prevention, and Complications Prognosis is poor May result in liver failure, cirrhosis, cholangiocarcinoma

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Its ability to reduce inflammation and promote vascular repair also makes it highly effective for tendon and ligament healing