AIDS cholangiopathy

What is AIDS cholangiopathy? How do patients present? 

  • AIDS cholangiopathy is a spectrum of biliary tract abnormalities resembling sclerosing cholangitis that can be caused by a wide array of microorganisms and neoplasms, usually in patients with advanced immunodeficiency (CD4 count < 100 cells/mL).
  • Patients generally present with epigastric or right upper quadrant pain, fever, and malaise.
  • Although AIDS cholangiopathy is a cholestatic disease, jaundice and pruritus are uncommon.
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