Korean J Hepatol.  1998 Jun;4(2):188-193.

A Case of Nonfamilial Benign Recurrent Intrahepatic Cholestasis

Abstract

Benign recurrent intrahepatic cholestasis (BRIC) is a rare desease, which usually manifests between the age of 10 and 20. Its main clinical feature is multiple recurrent episodes of cholestasis without extrahepatic bile duct obstruction. We report here a case of nonfamilial benign recurrent intrahepatic cholestasis. The patient has experienced recurrent jaundice with pruritus since childhood. Main bile duct obstrution was excluded by abdominal CT and endoscopic retrograde cholangiopancreatography. Other causes of cholestasis were not found. Hepatic histology revealed bile plug which were mainly concentrated in the centrilobular region, and increased number of mononuclear cells in the portal triad, but hepatic parenchyma showed no inflammation and necrosis. In the last anicteric period, she was healthy and the liver function test and biopsy specimen were normal.

Keyword

Benign recurrent intrahepatic cholestasis; Nonfamilial form

MeSH Terms

Bile
Bile Ducts
Bile Ducts, Extrahepatic
Biopsy
Cholangiopancreatography, Endoscopic Retrograde
Cholestasis
Cholestasis, Intrahepatic*
Humans
Inflammation
Jaundice
Liver Function Tests
Necrosis
Pruritus
Tomography, X-Ray Computed
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