Papillary stenosis and sclerosing cholangitis in an immunodeficient child

Gremse, David A.; Bucuvalas, John C.; Bongiovanni, G

doi:10.1016/0016-5085(89)90533-7

Cited by 18 publications

(7 citation statements)

References 16 publications

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“…Amplification targets were two fragments of the 18S ribosomal RNA gene (unnested) and part of the Cryptosporidium oocyst wall protein gene (nested and unnested). Twenty eight-patients with primary immunodeficiencies were studied including: CD40 ligand deficiency (13); undefined combined immunodeficiency (10); major histocompatibility complex II deficiency (2); and other defects (3). Samples analyzed included stool, bile and liver tissue.…”

mentioning

confidence: 99%

Polymerase chain reaction-based diagnosis of infection with Cryptosporidium in children with primary immunodeficiencies

McLauchlin

Amar

Pedraza-Dı́az

et al. 2003

The Pediatric Infectious Disease Journal

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mentioning

confidence: 99%

Polymerase chain reaction-based diagnosis of infection with Cryptosporidium in children with primary immunodeficiencies

McLauchlin

Amar

Pedraza-Dı́az

et al. 2003

The Pediatric Infectious Disease Journal

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“…Stenosis of Vater’s papilla is rather rare in childhood. Vater’s papillitis and papillary stenosis were reported only in children with immunodeficient disease 5 . The stenosis of Vater’s papilla is differentiated from other biliary pathologies such as anomalous junction of pancreaticobiliary duct or choledochal cyst which is commonly seen in childhood.…”

Section: Discussionmentioning

confidence: 99%

Vater’s papillary stenosis in a child with abdominal pain

Yilmaz

Erkan

Şentürk

et al. 2006

Pediatrics International

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“…A biliary stricture of unknown cause has been described in a child with a congenital immunodeficiency disorder. 33 In cases of the acquired immunodeficiency syndrome, cholecystitis and lesions of the biliary duct have been associated with mucosal infection with organisms such as cytomegalovirus, cryptosporidium, and microsporidium. 34 However, there was no evidence of immunodeficiency or infection in this patient.…”

Section: Dr Aubrey J Katz's Diagnosismentioning

confidence: 99%

Case 19-2000

Katz¹,

Graeme‐Cook²

2000

N Engl J Med

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A 17-year-old boy was admitted to the hospital because of obstructive jaundice and weight loss.The patient had been well until two months earlier, when he consulted a physician because of pruritus. Topical antibiotic preparations were prescribed for excoriations, without improvement. Laboratory studies were performed a week later and were repeated after seven days (Table 1). An abdominal ultrasonographic examination showed distention of the gallbladder and common bile duct, with two large cysts in the left upper quadrant. Three days before admission, the patient came to this hospital.The patient had been born in the United States; his parents were Haitian immigrants. He had lost 13 kg in weight during the preceding three months, during which he had begun to run up to 1500 m daily. His stools became lighter and his urine darker several weeks before admission. He had no history of trauma, alcohol abuse, or use of illicit drugs and no risk factors for human immunodeficiency virus (HIV) infection. His parents and seven siblings were well. There was no family history of disorders suggestive of pancreaticobiliary disease.The temperature was 37°C, the pulse was 63, and the respirations were 18. The blood pressure was 120/65 mm Hg, and the weight was 74 kg.Physical examination showed no abnormalities except for excoriations and scleral icterus.Laboratory studies were performed (Tables 1 and 2). An axial T 2 -weighted image from a magnetic resonance imaging (MRI) study (Fig. 1) showed two homogeneous cysts adjacent to the tail of the pancreas. A magnetic resonance cholangiopancreatographic study (Fig. 2) showed a focal stricture in the common bile duct, which terminated at an abnormally high level; an *To convert the values for bilirubin to micromoles per liter, multiply by 17.1. †The normal range is 5 to 50 U per liter.

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Papillary stenosis and sclerosing cholangitis in an immunodeficient child

Cited by 18 publications

References 16 publications

Polymerase chain reaction-based diagnosis of infection with Cryptosporidium in children with primary immunodeficiencies

Polymerase chain reaction-based diagnosis of infection with Cryptosporidium in children with primary immunodeficiencies

Vater’s papillary stenosis in a child with abdominal pain

Case 19-2000

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