title: Chlorpromazine-induced vanishing bile duct syndrome leading to biliary cirrhosis.
abstract: 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.
authors.affiliation: Department of Internal Medicine, University Hospital Zurich, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Moradpour
authors.forename: J
authors.initials: J
authors.lastname: Altorfer
authors.forename: R
authors.initials: R
authors.lastname: Flury
authors.forename: P
authors.initials: P
authors.lastname: Greminger
authors.forename: C
authors.initials: C
authors.lastname: Meyenberger
authors.forename: R
authors.initials: R
authors.lastname: Jost
authors.forename: M
authors.initials: M
authors.lastname: Schmid
mesh_terms: D000328:Adult; D001652:Bile Ducts / Q000187:drug effects* / Q000473:pathology; D001706:Biopsy; D002746:Chlorpromazine / Q000009:adverse effects*; D002779:Cholestasis / Q000139:chemically induced* / Q000150:complications / Q000473:pathology; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008105:Liver Cirrhosis, Biliary / Q000209:etiology* / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications; D013577:Syndrome
chemical_list: D002746:Chlorpromazine