Publication

Chlorpromazine-induced vanishing bile duct syndrome leading to biliary cirrhosis

Journal Paper/Review - Dec 1, 1994

Units
PubMed

Citation
Moradpour D, Altorfer J, Flury R, Greminger P, Meyenberger C, Jost R, Schmid M. Chlorpromazine-induced vanishing bile duct syndrome leading to biliary cirrhosis. Hepatology (Baltimore, Md.) 1994; 20:1437-41.
Type
Journal Paper/Review (English)
Journal
Hepatology (Baltimore, Md.) 1994; 20
Publication Date
Dec 1, 1994
Issn Print
0270-9139
Pages
1437-41
Brief description/objective

We describe a 33-yr-old pregnant woman in whom a primary biliary cirrhosis-like syndrome developed after 2 wk of chlorpromazine therapy. The clinical course was characterized by severe jaundice lasting 22 mo, intense pruritus, fever, steatorrhea, high alkaline phosphatase levels and hypercholesterolemia. Jaundice resolved with initiation of ursodeoxycholic acid therapy, but subclinical cholestasis and low-level inflammatory activity persisted and ultimately evolved into biliary cirrhosis. The pathological substrate of this severe and prolonged cholestatic reaction was found to be the vanishing bile duct syndrome with a marked transient pseudoxanthomatosis.