Cholestasis in Crohn's Disease: A Diagnostic Challenge

A 24-year-old male with Crohn's disease who developed three independent episodes of cholestatic liver disease over an eight-year period is described. The first episode was related to...

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Main Authors: Nir Hilzenrat, Esther Lamoureux, Averell Sherker, Albert Cohen
Format: Article
Language:English
Published: Wiley 1997-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1997/203843
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author Nir Hilzenrat
Esther Lamoureux
Averell Sherker
Albert Cohen
author_facet Nir Hilzenrat
Esther Lamoureux
Averell Sherker
Albert Cohen
author_sort Nir Hilzenrat
collection DOAJ
description A 24-year-old male with Crohn's disease who developed three independent episodes of cholestatic liver disease over an eight-year period is described. The first episode was related to an idiosyncratic drug reaction while on sulfasalazine. The second episode, at the time of an exacerbation of his colitis, was characterized by moderate portal inflammation on liver biopsy and resolved quickly while he was on corticosteroid therapy. The most recent episode, occurring when the bowel disease was quiescent, was due to granulomatous hepatitis and resolved clinically with no specific therapy. Because numerous potentially serious hepatobiliary complications have been associated with inflammatory bowel disease, prompt and aggressive investigation in these instances is recommended.
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institution Kabale University
issn 0835-7900
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publishDate 1997-01-01
publisher Wiley
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series Canadian Journal of Gastroenterology
spelling doaj-art-96b9bbc018e24b00b06d422604bfe8ca2025-02-03T01:13:10ZengWileyCanadian Journal of Gastroenterology0835-79001997-01-01111353710.1155/1997/203843Cholestasis in Crohn's Disease: A Diagnostic ChallengeNir HilzenratEsther LamoureuxAverell SherkerAlbert CohenA 24-year-old male with Crohn's disease who developed three independent episodes of cholestatic liver disease over an eight-year period is described. The first episode was related to an idiosyncratic drug reaction while on sulfasalazine. The second episode, at the time of an exacerbation of his colitis, was characterized by moderate portal inflammation on liver biopsy and resolved quickly while he was on corticosteroid therapy. The most recent episode, occurring when the bowel disease was quiescent, was due to granulomatous hepatitis and resolved clinically with no specific therapy. Because numerous potentially serious hepatobiliary complications have been associated with inflammatory bowel disease, prompt and aggressive investigation in these instances is recommended.http://dx.doi.org/10.1155/1997/203843
spellingShingle Nir Hilzenrat
Esther Lamoureux
Averell Sherker
Albert Cohen
Cholestasis in Crohn's Disease: A Diagnostic Challenge
Canadian Journal of Gastroenterology
title Cholestasis in Crohn's Disease: A Diagnostic Challenge
title_full Cholestasis in Crohn's Disease: A Diagnostic Challenge
title_fullStr Cholestasis in Crohn's Disease: A Diagnostic Challenge
title_full_unstemmed Cholestasis in Crohn's Disease: A Diagnostic Challenge
title_short Cholestasis in Crohn's Disease: A Diagnostic Challenge
title_sort cholestasis in crohn s disease a diagnostic challenge
url http://dx.doi.org/10.1155/1997/203843
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AT estherlamoureux cholestasisincrohnsdiseaseadiagnosticchallenge
AT averellsherker cholestasisincrohnsdiseaseadiagnosticchallenge
AT albertcohen cholestasisincrohnsdiseaseadiagnosticchallenge