PBC: A hidden women’s health issue

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Robert Mitchell-Thain

by Robert Mitchell-Thain

Wednesday 1st May 2024

Partner content: Ipsen UK Ltd, in collaboration with the PBC Foundation, have produced this article. The article was initiated and funded by Ipsen UK Ltd.

Primary biliary cholangitis (PBC) is an autoimmune disease mainly affecting older women that is under diagnosed and often dismissed when its symptoms coincide with the menopause. The Chief Executive Officer of the Edinburgh-based PBC Foundation, Robert Mitchell-Thain, says it is time to take the condition more seriously.

“I'd like to address the profound impact of fatigue – not just any fatigue, but the kind that renders you unable to lift your arms to dry your hair or hang out wet laundry. This fatigue, combined with the stark reality of being told you have only five years to live, underscores the severity of PBC.

Then there's the relentless itch, likened to thousands of ants crawling beneath your skin, causing an uncontrollable burning sensation deep within.

For far too many patients, this is the harsh reality of living with PBC, an autoimmune condition that affects the bile ducts in the liver. If left untreated, PBC can lead to liver failure and premature death. Despite being easily diagnosed and largely treatable, PBC remains significantly under diagnosed, leaving countless patients without the support and treatment they desperately need.

The condition affects mostly women, with many experiencing symptoms around the time of menopause. Yet, these symptoms are often dismissed, delaying crucial diagnosis and treatment. It's imperative that these women are identified and treated promptly with life preserving medications.

Many patients affected by PBC find themselves grappling with profound questions about their future, wondering if they'll have the chance to meet their grandchildren or witness their own children's milestones like graduations. Too often, they are forced to relinquish their roles at work, distance themselves from family and withdraw from friendships. I understand this reality intimately, having witnessed my own mother navigate this exact journey.

Yet, amidst the challenges there is a beacon of hope that shines brightly: the PBC Foundation. From its humble origins in Dunfermline, this organisation extends its support to over 16,000 patients and their families and caregivers across more than 80 countries worldwide.

PBC is rare but numbers are significant and exert a disproportionate strain on liver transplant resources. To alleviate this burden, it is imperative the PBC receives the attention it deserves from policymakers and healthcare services. Adopting a Scottish national guideline is vital to ensure timely diagnosis and access to appropriate treatment.

Let's commit to prioritise awareness, diagnosis and treatment, ensuring that individuals impacted by PBC can reclaim their lives and futures with confidence and dignity.”

About the PBC Foundation

Set up in 1996 by Colette Thain MBE, a PBC patient who was given five years to live, the Foundation provides information and support, advocates of patients in need of life preserving treatments and helps with much needed research into this debilitating, incurable condition.

You can speak to Collett today for support in your own journey – or to learn more about hers – by contacting the foundation directly.

For more information go to:

The PBC Foundation

The British Society of Gastroenterology

NHS patient information pages

 

Ipsen UK Ltd, in collaboration with the PBC Foundation, have produced this article.

The article was initiated and funded by Ipsen UK Ltd.

 

Date of preparation April 2024                                                        ALLSC-UK001234