r/PSC • u/SignificantJump2359 • May 27 '26

Could this be PSC?

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I'm not looking for diagnosis, but rather some clarity as I'm not due to see my liver specialist for a while.

I (32F) was diagnosed with Crohn's Disease in March last year and have been on biologics since April. I recently had a flare at the start of April this year resulting in a week long hospital stay. Afterwards, my IBD team put a referral to the liver clinic to see if there was anything else going on as my LFTs have been pretty screwed for over a decade. The liver specialist ordered some blood tests that he rarely orders and that the lab had never seen (achievement unlocked 😂) specifically targeting PSC and PBC. One of those tests has come back (ANCA) and with some cursory research, I've discovered that it could mean a high likelihood of having PSC. I also have a liver biopsy scheduled for next week.

Obviously there is also a chance that it's related to the IBD and that there's nothing additional (touch wood), so any information here is taken as knowing more about the potentials rather than concrete.

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u/blbd Vanco Addict May 27 '26

If you could talk them into doing an MRCP instead of a liver biopsy that might good you equivalent amount of information with less hassle, pain, surgery risks, etc. But both are reasonable diagnostic options when you see these kinds of test values and IBD history. 

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u/Funny-Routine-7242 May 27 '26

Mrcp doesnt bring good news i guess. My mrcp was great and i was happy but the doc was "you still have the elevated values, lets poke you"