[Benign recurring intrahepatic cholestasis--a case report]. 1984

W Stremmel, and T Scholten, and B Miller, and G Strohmeyer

The diagnosis of benign recurrent intrahepatic cholestasis was made in a 40 year old female. Seven episodes of jaundice persisting up to 6 months in lengths lead to 3 laparotomies, numerous peritoneoscopies and needle biopsies of the liver. Elevation of conjugated serum bilirubin and alkaline phosphatase levels and histopathological confirmation of intrahepatic cholestasis without cholangitis were the main characteristics during the episodes of cholestatic jaundice. However, hepatic histology and liver function were normal in remission periods. Drug induced cholestasis was ruled out by careful history. A sister also suffered from 4 episodes of intrahepatic cholestasis. The etiology of the disease is probably of a genetic origin. The pathogenesis remains unclear. There is no specific treatment to prevent or shorten the occurrence of cholestatic episodes. The patients are advised to avoid pregnancy and oral contraceptives, since both will induce icteric phases.

UI MeSH Term Description Entries
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D002780 Cholestasis, Intrahepatic Impairment of bile flow due to injury to the HEPATOCYTES; BILE CANALICULI; or the intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC). Bile Duct Obstruction, Intrahepatic,Biliary Stasis, Intrahepatic,Intrahepatic Cholestasis,Biliary Stases, Intrahepatic,Cholestases, Intrahepatic,Intrahepatic Biliary Stases,Intrahepatic Biliary Stasis,Intrahepatic Cholestases
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000469 Alkaline Phosphatase An enzyme that catalyzes the conversion of an orthophosphoric monoester and water to an alcohol and orthophosphate. EC 3.1.3.1.
D001663 Bilirubin A bile pigment that is a degradation product of HEME. Bilirubin IX alpha,Bilirubin, (15E)-Isomer,Bilirubin, (4E)-Isomer,Bilirubin, (4E,15E)-Isomer,Bilirubin, Calcium Salt,Bilirubin, Disodium Salt,Bilirubin, Monosodium Salt,Calcium Bilirubinate,Hematoidin,delta-Bilirubin,Bilirubinate, Calcium,Calcium Salt Bilirubin,Disodium Salt Bilirubin,Monosodium Salt Bilirubin,Salt Bilirubin, Calcium,delta Bilirubin
D001706 Biopsy Removal and pathologic examination of specimens from the living body. Biopsies

Related Publications

W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
December 1971, Wiener klinische Wochenschrift,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
March 1991, Anales de medicina interna (Madrid, Spain : 1984),
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
November 1985, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
November 1977, Schweizerische medizinische Wochenschrift,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
October 1984, Gastroenterologia Japonica,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
November 1975, Sbornik lekarsky,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
December 1992, Revista clinica espanola,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
January 2020, Case reports in gastrointestinal medicine,
W Stremmel, and T Scholten, and B Miller, and G Strohmeyer
December 1963, Medical bulletin of the U. S. Army, Europe. United States. Army, Europe. Medical Division,
Copied contents to your clipboard!