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AIDS Cholangiopathy - Biotech, Pharma and Life Science Channel

18:31 EDT 21st May 2013 | BioPortfolio

AIDS cholangiopathy is biliary obstruction secondary to biliary tract strictures caused by various opportunistic infections.

Before the advent of highly active antiretroviral therapy, cholangiopathy occurred in 25% of those with AIDS, especially in association with a low CD4 count (< 100/μL). The most common pathogen is Cryptosporidium parvum. Others include cytomegalovirus, microsporidia, and Cyclospora sp. Papillary stenosis or intrahepatic or extrahepatic sclerosing cholangitis develops in most patients. Over half exhibit both lesions.

Common symptoms include right upper quadrant and epigastric pain and diarrhea. A few patients have fever and jaundice. Severe pain usually indicates papillary stenosis. Milder pain suggests sclerosing cholangitis. The diarrhea reflects small-bowel infection, often cryptosporidiosis.

Source: Merck Manual

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