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Atypical causes of cholestasis.
[benign recurrent intrahepatic cholestasis]
Cholestatic
liver
disease
consists
of
a
variety
of
disorders
.
Primary
sclerosing
cholangitis
and
primary
biliary
cirrhosis
are
the
most
commonly
recognized
cholestatic
liver
disease
in
the
adult
population
,
while
biliary
atresia
and
Alagille
syndrome
are
commonly
recognized
in
the
pediatric
population
.
In
infants
,
the
causes
are
usually
congenital
or
inherited
.
Even
though
jaundice
is
a
hallmark
of
cholestasis
,
it
is
not
always
seen
in
adult
patients
with
chronic
liver
disease
.
Patients
can
have
"
silent
"
progressive
cholestatic
liver
disease
for
years
prior
to
development
of
symptoms
such
as
jaundice
and
pruritus
.
In
this
review
,
we
will
discuss
some
of
the
atypical
causes
of
cholestatic
liver
disease
such
as
benign
recurrent
intrahepatic
cholestasis
,
progressive
familial
intrahepatic
cholestasis
,
Alagille
Syndrome
,
biliary
atresia
,
total
parenteral
nutrition
induced
cholestasis
and
cholestasis
secondary
to
drug
induced
liver
injury
.
Diseases
Validation
Diseases presenting
"recognized cholestatic liver disease in the adult population"
symptom
benign recurrent intrahepatic cholestasis
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