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A 71-year-old woman was referred to our clinic for an evaluation of osteoporosis. She had been thought to have primary biliary cirrhosis four years earlier, was receiving ursodeoxycholic acid (ursodiol), and had normal liver function. The diagnosis of primary biliary cirrhosis had been based on high serum alkaline phosphatase and antimitochondrial antibody concentrations, but liver biopsy had not been performed.
Three years later, on evaluation
References
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