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Latent chronic cholangitis in congenital hepatic fibrosis


In a five-year-old girl with congenital hepatic fibrosis raised erythrocyte sedimentation rate and serum gammaglobulins were noted for 3 years. Needle liver biopsy showed histological features of cholangitis andKlebsiella oxytoca was cultured from a liver biopsy specimen. Antibiotic treatment resulted in normalization of erythrocyte sedimentation rate and serum gammaglobulins. This suggest that cholangitis can be clinically latent in congenital hepatic fibrosis and should be investigated and treated when unexplained inflammatory signs are present.

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Alvarez, F., Hadchouel, M. & Bernard, O. Latent chronic cholangitis in congenital hepatic fibrosis. Eur J Pediatr 139, 203–205 (1982).

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Key words

  • Cholangitis
  • Child
  • Liver disease