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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
February 19
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Does a positive AMA test mean you definitely have PBC?

Not necessarily. While a positive AMA test is a strong indicator of PBC, it doesn't automatically mean you have the disease.

A positive AMA result can sometimes show up in
* People with other autoimmune diseases like lupus, rheumatoid arthritis, or Sjögren's disease Show Full Answer

Does a positive AMA test mean you definitely have PBC?

Not necessarily. While a positive AMA test is a strong indicator of PBC, it doesn't automatically mean you have the disease.

A positive AMA result can sometimes show up in:
* People with other autoimmune diseases like lupus, rheumatoid arthritis, or Sjögren's disease
* People with certain infections, such as viral hepatitis
* Healthy older adults who may never develop any health problems

Fewer than 1 out of 100 healthy people have AMA in their blood. Some may never develop symptoms or liver damage, while for others it could be an early sign of PBC developing later.

To confirm a PBC diagnosis, doctors look for at least two of these three criteria:
* Elevated ALP levels (at least 1.5 times the upper limit of normal)
* Presence of AMAs with a titer of 1:40 or higher
* Liver biopsy showing damage associated with PBC

If you're AMA-positive but have no symptoms and normal liver enzymes, your doctor may recommend monitoring with blood tests every 6-12 months to watch for any changes. This helps catch potential liver issues early if they develop.

The key is that doctors use multiple tests and clinical findings together, not just AMA alone, to make an accurate diagnosis.

February 19

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