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Benign recurrent intrahepatic cholestasis. Some reflections on a case followed for 20 years.
[benign recurrent intrahepatic cholestasis]
Benign
recurrent
intrahepatic
cholestasis
(
BRIC
)
is
a
form
of
cholestasis
of
obscure
aetiology
characterized
by
recurrent
episodes
of
jaundice
and
itching
associated
with
a
morphological
picture
of
pure
intrahepatic
cholestasis
.
No
effective
treatment
has
yet
been
found
among
the
many
that
have
been
proposed
and
the
invariably
benign
nature
of
the
condition
has
been
questioned
.
A
case
of
BRIC
followed
for
a
period
of
20
years
is
described
.
This
case
is
of
great
interest
from
these
two
points
of
view
:
1
)
the
histologic
and
electron
microscopic
findings
23
and
41
years
after
the
first
episode
of
cholestasis
,
respectively
,
failed
to
reveal
evidence
of
the
possible
future
development
of
cirrhosis
;
2
)
treatment
with
ursodeoxycholic
acid
proved
ineffective
both
therapeutically
and
in
the
prevention
of
episodes
of
bile
stasis
:
on
the
contrary
,
calculosis
of
the
common
bile
duct
appeared
after
8
months
from
the
onset
of
the
treatment
.
Diseases
Validation
Diseases presenting
"recurrent episodes"
symptom
acute rheumatic fever
adrenomyeloneuropathy
benign recurrent intrahepatic cholestasis
child syndrome
cholangiocarcinoma
cystinuria
familial mediterranean fever
hydrocephalus with stenosis of the aqueduct of sylvius
kabuki syndrome
neuralgic amyotrophy
pyruvate dehydrogenase deficiency
systemic capillary leak syndrome
triple a syndrome
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