Skip to main content

Table 2 Fibrosis score before and after cholic acid therapy in 15 patients diagnosed with either a 3β-hydroxy-Δ5-C27-steroid oxidoreductase deficiency (patients 1–13) or a Δ4–3-oxosteroid 5β-reductase deficiency (patients 14–15)

From: Cholic acid for primary bile acid synthesis defects: a life-saving therapy allowing a favorable outcome in adulthood

Patient

(Family)

Fibrosis score a,b

before CA

5–7.5 years with CA

7.5 - < 15 years with CA

15 - < 20 years with CA

≥20 years with CA

1 (A)

F2a

F1a

5.1 y

  

F0b

TE = 5.4 kPa

22 y

2 (B)

F3a

F2a

5.4 y

   

3 (C)

F3a

F0a

6.5 y

  

F0b

ARFI = 1 m/s

22 y

4 (D1)

F4a

F3/F2a

7.2 y

F2b

TE = 8.3 kPa

14.7 y

 

F2b

TE = 10 kPa

22 y

5 (D2)

F1a

 

F0b

TE = 3.3 kPa

13 y

  

6 (E1)

F3a

F1a

5.2 y

 

F1b

TE = 6.7 kPa

17 y

F3b, £,+

TE = 13 kPa

21 y

F1b

TE = 7.8 kPa

24 y

7 (E2)

F4a

F2a

5.3 y

  

F0b

TE = 4.8 kPa

21 y

8 (F)

F3a

F1a

5.3 y

  

F2b,+

SSI = 8.1 kPa (6.8–9.4)

20 y

F2b,+

SSI = 8.5 kPa (7.1–9.3)

21 y

9 (G1)

F3a

F2a

5.6 y

 

F0b

TE = 4.4 kPa

19 y

F0*

SSI = 4.9 kPa (4.4–6.1)

21 y

10 (G2)

F4/F3a

 

F2a

11.5 y

F2b

TE = 8.2 kPa

18y

F2b

SSI = 8.2 kPa (7.9–8.5)

21 y

11 (H)

F3a

F1a

5.3 y

 

F0b

SSI = 5.4 kPa (4.4–6.9)

19 y

 

12 (I1)

F3a

F0a

6.1 y

F0b

TE = 4.6 kPa

13 y

F1b

SSI = 7.7 kPa (6–9)

15.1 y

 

13 (I2)

F0a

F1a

5.5 y

F0b

TE = 4.3 kPa

12 y

F0b

SSI = 6.7 kPa (5.6–7.7)

15 y

 

14 (J1)

F4a

F4/F3a

5.5y

 

F3a

16 y

F0b

SSI = 7.3 kPa (5.7–9.6)

20y

15 (J2)

F3a

F2a

5.5y

 

F1/F2a

16y

F0b

SSI = 6.4 kPa (5.4–7.8) 18y

F0b

SSI = 6.9 kPa (6.5–7.6)

20y

Median score

F3

F1

F0

F0.5

F0

Range

F0-F4

F0-F4/F3

F0-F2

F0-F3

F0-F2

  1. Liver fibrosis was assessed according to Metavir score in liver biopsy specimens a, or using the following non invasive methodsb: TE, transient elastography; SSI, supersonic shear imaging; or ARFI, acoustic radiation force impulse. The duration of cholic acid therapy at the time of the assessment of liver fibrosis is indicated below each result. £, chronic alcohol intake; +, poor compliance to cholic acid therapy. When in a patient 2 values of fibrosis score were recorded during the same time period, only the more recent value was considered to calculate the median and range values. See patients and methods section for details. CA, cholic acid