A patient presenting with H/0 diarrhea for several years with recent onset pruritus & T Alkalline Phosphatase, normal SGOT/PT & USG shows no gall stones & biliary tract abnormality, the diagnosis is -: (A) Hodgkins Lymphoma, (B) Sclerosing cholangitis, (C) Chronic HepatitisAutoimmune Hepatitis, (D) Viral Hepatitis
Answer is B. Ans. (b) Sclerosing cholangitis This patient having inflammatory bowel disease (history of diarrhoea for several years) now presenting with pruritus and T alkaline phosphatase points towards the diagnosis of Primary sclerosing cholangitis.