Diagnosis, and prognosis of AIDS-related cholangitis

Ducreux, Michel; Buffet, Catherine; Lamy, Philippe; Beaugerie, Laurent; Fritsch, Júlia; Choury, André-Daniel; Liguory, C; Longuet, P; Gendre, Jean–Pierre; Vachon, F; Gentilini, M; Rozenbaum, Willy; Quintrec, Y Le; Etienne, J P

doi:10.1097/00002030-199508000-00007

Cited by 66 publications

(41 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two reports have shown that these patients have a prognosis similar to other AIDS patients with comparable levels of immunodeficiency [6,11]. Nevertheless, the prognosis is poor (median survival F10 months), because the opportunistic infections which involve the biliary tree only complicate severe immunodeficiency.…”

Section: Prognosismentioning

confidence: 83%

“…Five reports [4,5,8,9,13] have described longlasting relief of symptoms in 70-100% of patients following sphincterotomy when performed for papillary stenosis. However, a symptomatic response was noted in only 32% in another series [11]. Despite pain relief in most patients, intrahepatic sclerosing cholangitis tends to progress after sphincterotomy, as manifested by a continued rise in the serum alkaline phosphatase [4,9].…”

Section: Treatmentmentioning

confidence: 94%

“…The microbiological yield is highest when multiple biopsies (duodenal and papillary) and bile sampling are both used [13]. Liver biopsies which contain bile ducts, biopsies of the common bile duct and/or papilla after endoscopic sphincterotomy, biliary brushings and Wilcox/Mönkemüller cytology, postmortem pathological and microbiological studies of gallbladder and biliary tree, as well as periampullary small bowel biopsies have all documented the presence of an infectious agent [10][11][12][13][14] (table 1). Although a number of pathogens have been implicated (table 1), in most series, Cryptosporidium is the single most common identifiable pathogen [10,13,15,16].…”

Section: Etiologymentioning

confidence: 99%

“…6). The most common cholangiographic pattern is papillary stenosis associated with intrahepatic sclerosing cholangitis, which occurs in approximately 50-60% of patients [5,9,11,40] (fig. 4).…”

Section: Cholangiographic Patternsmentioning

confidence: 99%

See 3 more Smart Citations

Hepatobiliary Diseases in Patients with AIDS: Focus on AIDS Cholangiopathy and Gallbladder Disease

Wilcox

Mönkemüller²

1998

Dig Dis

View full text Add to dashboard Cite

Diseases of the biliary tree and gallbladder are being described with increasing frequency among patients with the acquired immunodeficiency syndrome (AIDS). Despite the profound immunosuppressive therapy transplant recipients receive, these patients do not appear to be affected by these disorders; thus, human immunodeficiency virus (HIV)-infected patients appear to be uniquely susceptible. Most HIV-infected patients that develop cholangiopathy have severe immunodeficiency with CD4 lymphocyte counts <200/mm³. The objective of this review is to summarize the available literature on AIDS-cholangiopathy, focusing on its diagnosis and classification and to suggest an approach for its evaluation and its management.

show abstract

Section: Prognosismentioning

confidence: 83%

Section: Treatmentmentioning

confidence: 94%

Section: Etiologymentioning

confidence: 99%

Section: Cholangiographic Patternsmentioning

confidence: 99%

See 2 more Smart Citations

Hepatobiliary Diseases in Patients with AIDS: Focus on AIDS Cholangiopathy and Gallbladder Disease

Wilcox

Mönkemüller²

1998

Dig Dis

View full text Add to dashboard Cite

show abstract

“…Diagnosis is usually made by characteristic finding on ultrasound, with dilatation of the common bile duct observed in approximately two thirds of cases. Endoscopic retrograde cholangiopancreatography (ERCP) demonstrates dilation and irregularities of the ducts and has become the gold standard for diagnosis [21].It is also useful in treatment: Sphincterotomy provides symptomatic benefits for many patients [3].…”

Section: Aids Cholangiopathymentioning

confidence: 99%

Acute Biliary tract infections, Diagnostic criteria and Treatment

Mustafa¹,

Menon²,

Rahman³

et al. 2014

IJPSI

View full text Add to dashboard Cite

Sclerosing cholangitis: A focus on secondary causes

2006

View full text Add to dashboard Cite

Secondary sclerosing cholangitis (SSC) is a disease that is morphologically similar to primary sclerosing cholangitis (PSC) but that originates from a known pathological process. Its clinical and cholangiographic features may mimic PSC, yet its natural history may be more favorable if recognition is prompt and appropriate therapy is introduced. Thus, the diagnosis of PSC requires the exclusion of secondary causes of sclerosing cholangitis and recognition of associated conditions that may potentially imitate its classic cholangiographic features. Well-described causes of SSC include intraductal stone disease, surgical or blunt abdominal trauma, intra-arterial chemotherapy, and recurrent pancreatitis. However, a wide variety of other associations have been reported recently, including autoimmune pancreatitis, portal biliopathy, eosinophillic and/or mast cell cholangitis, hepatic inflammatory pseudotumor, recurrent pyogenic cholangitis, primary immune deficiency, and AIDS-related cholangiopathy.

show abstract

Diagnosis, and prognosis of AIDS-related cholangitis

Cited by 66 publications

References 0 publications

Hepatobiliary Diseases in Patients with AIDS: Focus on AIDS Cholangiopathy and Gallbladder Disease

Hepatobiliary Diseases in Patients with AIDS: Focus on AIDS Cholangiopathy and Gallbladder Disease

Acute Biliary tract infections, Diagnostic criteria and Treatment

Sclerosing cholangitis: A focus on secondary causes

Contact Info

Product

Resources

About