AIDS-related cholangitis: diagnostic features and course in four patients
| Autor: | J.A.H. Forrest, G.L.A. Bird, D.H. Kennedy |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Abdominal pain medicine.medical_specialty Cholangitis Sclerosing Disease 030204 cardiovascular system & hematology Gastroenterology Biliary disease 03 medical and health sciences Sphincterotomy Endoscopic 0302 clinical medicine Fatal Outcome Acquired immunodeficiency syndrome (AIDS) Liver Function Tests Internal medicine medicine Humans 030212 general & internal medicine Homosexuality Male Cholangiopancreatography Endoscopic Retrograde AIDS-Related Opportunistic Infections business.industry Hepatobiliary disease General Medicine medicine.disease Surgery Upper abdominal pain medicine.symptom Papillary stenosis business Complication |
| Zdroj: | Scottish medical journal. 40(2) |
| ISSN: | 0036-9330 |
| Popis: | Radiological features of sclerosing cholangitis are an uncommon but well recognised complication of HIV infection in homosexual males. In this report we document the clinical features and course of the disease in four patients. Four homosexual males with established AIDS were referred in 1990–92. Three of the four had intractable upper abdominal pain which was poorly responsive to opiates. Three of the patients had diarrhoea and all had weight loss. The diagnosis of AIDS related cholangitis was confirmed by endoscopic retrograde cholangiography in three cases, but in only one patient was there no evidence of biliary disease on ultrasound scanning. In the two cases with Cholangiographic features of papillary stenosis, endoscopic sphincterotomy was carried out and there was subsequently a dramatic improvement in the abdominal pain. Three of the patients had evidence of gastrointestinal infection with Microsporidia (1) or Cryptosporidia (2). All the patients died within 2–9 months of the diagnosis of cholangitis, but none of the deaths resulted from hepatobiliary disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|