CLINICAL CASE DISCUSSION ON BRIC --> 25/05/2023

CLINICAL CASE DISCUSSION ON BENIGN RECURRENT INTRAHEPATIC CHOLESTASIA {BRIC }

DATE : 25/05/2023

Presented by:

Dr. Kirankumar C Budihal

2nd year PG Scholar

Dept. Of PG Studies in Kayachikitsa

Highlights of the case:

Benign recurrent intrahepatic cholestasis (BRIC) and Progressive Familial Intrahepatic Cholestasis (PFIC) are rare conditions of defective bile salt transport, each with an estimated prevalence of 1/50,000-100,000. People with this condition experience episodes of cholestasis, during which the liver cells have a reduced ability to release bile. Episodes generally begin in the late teens or early twenties and may be accompanied by jaundice, severe itchiness, a vague feeling of discomfort (malaise), irritability, nausea, vomiting, and a lack of appetite. One such case of a 32 year old male patient had approached GAMH, Mysuru with above said complaints. BRIC self limiting disease and contemporary science manages it with symptomatic treatment. Chikitsa Siddanta is framed focusing on doshagati to bring shakhashrita doshas to the kosta by pitta vardhana, Kaphahara and vatanulomana followed by shodhana(Virechana) for nirharana of utklista doshas.