myPBCteam

It's great that your fibroscan results came back looking good — that's genuinely encouraging news! The ultrasound finding of a heterogeneous liver texture can sound alarming, but it's worth knowing that imaging results don't always tell the full story on their own.

Having both PBC and autoimmune hepatitis (overlap Show Full Answer

It's great that your fibroscan results came back looking good — that's genuinely encouraging news! The ultrasound finding of a heterogeneous liver texture can sound alarming, but it's worth knowing that imaging results don't always tell the full story on their own.

Having both PBC and autoimmune hepatitis (overlap syndrome) is something other myPBCteam members have navigated. Researchers estimate that roughly 2% to 19% of people with PBC may also show features of autoimmune hepatitis, so while it's not super common, you're definitely not alone. One important thing to be aware of with overlap syndrome is that people with both conditions can sometimes experience faster progression, which makes ongoing monitoring really important. Key things your doctor will likely keep an eye on include:

- ALT and AST levels — elevated levels can be a sign of autoimmune hepatitis activity
- IgG, ANA, or ASMA antibody levels
- ALP and GGT levels — more closely tied to PBC
- Liver biopsy, if needed, to get a clearer picture

The good news is that treatment options exist for overlap syndrome, often combining UDCA (your PBC medication) with additional medications to manage the autoimmune hepatitis side of things.

Bringing these ultrasound results to a hepatologist — a liver specialist — would be a really worthwhile next step if you haven't already, so they can look at the full picture alongside your fibroscan and blood work.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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