Primary sclerosing cholangitis and Hodgkin's disease
Kevin M. Man
Department of Medicine, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorAnne Drejet
Department of Pathology, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorCorresponding Author
Emmet B. Keeffe M.D.
Department of Transplantation, California Pacific Medical Center, San Francisco, California 94115
Department of Medicine, California Pacific Medical Center, San Francisco, California 94115
California Pacific Medical Center, 2340 Clay Street, #423, San Francisco, CA 94115===Search for more papers by this authorRichard Garcia-Kennedy
Department of Pathology, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorJoanne C. Imperial
Department of Transplantation, California Pacific Medical Center, San Francisco, California 94115
Department of Medicine, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorCarlos O. Esquivel
Department of Transplantation, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorKevin M. Man
Department of Medicine, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorAnne Drejet
Department of Pathology, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorCorresponding Author
Emmet B. Keeffe M.D.
Department of Transplantation, California Pacific Medical Center, San Francisco, California 94115
Department of Medicine, California Pacific Medical Center, San Francisco, California 94115
California Pacific Medical Center, 2340 Clay Street, #423, San Francisco, CA 94115===Search for more papers by this authorRichard Garcia-Kennedy
Department of Pathology, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorJoanne C. Imperial
Department of Transplantation, California Pacific Medical Center, San Francisco, California 94115
Department of Medicine, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorCarlos O. Esquivel
Department of Transplantation, California Pacific Medical Center, San Francisco, California 94115
Search for more papers by this authorAbstract
Three patients with primary sclerosing cholangitis and Hodgkin's disease, a previously unrecognized association, are reported. All three patients were men, and one patient had Crohn's disease of the colon. Primary sclerosing cholangitis was diagnosed 2, 11 and 17 yr before diagnosis of Hodgkin's disease in the three patients, and all three had advanced biliary cirrhosis prompting referral for liver transplantation. The symptoms of Hodgkin's disease were often masked by similar manifestations of primary sclerosing cholangitis, particularly symptoms of recurrent biliary sepsis. Hodgkin's disease is another disorder that may occur in patients with primary sclerosing cholangitis, particularly in the setting of advanced disease, and may be masked by the underlying hepatobiliary disease. (HEPATOLOGY 1993;18:1127-1131).
References
- 1 Chapman RWG, Arborgh BAM, Rhodes JM, Summerfield JA, Dick R, Scheuer PJ, Sherlock S. Primary sclerosing cholangitis: a review of its clinical features, cholangiography, and hepatic histology. Gut 1980; 21: 870–877.
- 2 Wiesner RH, LaRusso NF. Clinicopathologic features of the syndrome of primary sclerosing cholangitis. Gastroenterology 1980; 79: 200–206.
- 3 LaRusso NF, Wiesner RH, Ludwig J, MacCarty RL. Primary sclerosing cholangitis. N Engl J Med 1984; 310: 899–903.
- 4 Vilgrain V, Erlinger S, Belghiti J, Degott C, Menu Y, Nahum H. Cholangiographic appearance simulating sclerosing cholangitis in metastatic adenocarcinoma of the liver. Gastroenterology 1990; 99: 850–853.
- 5 Shea WJ, Demas BE, Goldberg HI, Hohn DC, Ferrell LD, Kerlan RK. Sclerosing cholangitis associated with hepatic arterial FUDR chemotherapy: radiographic-histologic correlation. AJR Am J Roentgenol 1986; 146: 717–776.
- 6 Cello JP. Acquired immunodeficiency syndrome cholangiopathy: spectrum of disease. Am J Med 1989; 86: 539–546.
- 7 MacCarty RL, LaRusso NF, May GR, Bender CE, Wiesner RH, King JE, Coffey RJ. Cholangiocarcinoma complicating primary sclerosing cholangitis: cholangiographic appearances. Radiology 1985; 156: 43–46.
- 8 Rosen CB, Nagorney DM. Cholangiocarcinoma complicating primary sclerosing cholangitis. Semin Liver Dis 1991; 11: 26–30.
- 9 Vierling JM. Hepatobiliary complications of ulcerative colitis and Crohn's disease. In: D Zakim, T Boyer, eds. Hepatology. 2nd ed. Philadelphia: W.B. Saunders, 1990; 1126–1146.
- 10 Birrer MJ, Young RC. Differential diagnosis of jaundice in lymphoma patients. Semin Liver Dis 1987; 7: 269–277.
- 11 Bartholomew LG, Cain JC, Woolner LB, Utz DC, Ferris DO. Sclerosing cholangitis: its possible association with Riedel's struma and fibrous retroperitonitis: report of two cases. N Engl J Med 1963; 269: 8–12.
- 12 Alperti LI, Jindrak K. Idiopathic retroperitoneal fibrosis and sclerosing cholangitis associated with a reticulum cell sarcoma. Gastroenterology 1972; 62: 111–117.
- 13 Hawk WA, Hazard JB. Sclerosing retroperitonitis and sclerosing mediastinitis. Am J Clin Pathol 1959; 32: 321–334.
- 14 Hellstrom HR, Perez-Stable EC. Retroperitoneal fibrosis with disseminated vasculitis and intrahepatic sclerosing cholangitis. Am J Med 1966; 40: 184–187.
- 15 Thompson HH, Pitt HA, Lewin KJ, Longmire WP. Sclerosing cholangitis and histiocytosis X. Gut 1984; 25: 526–530.
- 16 Concepcion W, Houssein D, Nakazato P, Cox K, Terry A, Esquivel CO. Transplantation for liver failure due to histiocytosis [Abstract]. HEPATOLOGY 1989; 10: A658.
- 17 Alberti-Flor JJ, Kalemeris G, Dunn GD, Avant GR. Primary sclerosing cholangitis associated with massive intraabdominal lymphadenopathy. Am J Gastroenterol 1986; 81: 55–60.
- 18 Bass NM, Chapman RW, O'Rielly A, Sherlock S. Primary sclerosing cholangitis associated with angioimmunoblastic lymphadenopathy. Gastroenterology 1983; 85: 420–424.
- 19 Montefusco PP, Geiss AC, Bronzo RL, Randall S, Kahn E, McKinley MJ. Sclerosing cholangitis, chronic pancreatitis and Sjögren's syndrome: a syndrome complex. Am J Surg 1984; 147: 822–826.
- 20 Gupta S, Saverymuttu SH, Marsh JCW, Hodgson HJ, Chadwick VS. Immune thrombocytopenic purpura, neutropenia and sclerosing cholangitis associated with ulcerative cholangitis in an adult. Clin Lab Haematol 1986; 8: 67–69.
- 21 Danzi JT, Makipour H, Farmer RG. Primary sclerosing cholangitis; a report of nine cases and clinical review. Am J Gastroenterol 1976; 65: 109–116.
- 22 Mir-Madjlessi SH, Sivak MV, Farmer RG. Hypereosinophilia, ulcerative colitis, primary sclerosing cholangitis and bile duct carcinoma. Am J Gastroenterol 1986; 81: 483–485.
- 23 Lester EP, Ultman JE. Hodgkin's disease. In: WJ Williams, E Bentler, AJ Erslev, Lichtman, eds. Hematology. 4th ed. Philadelphia: McGraw-Hill, 1990; 1039–1067.
- 24 Jewell DP. Ulcerative colitis. In: MH Sleisenger, JS Fordtran, eds. Gastrointestinal disease: pathophysiology, diagnosis, and management. 5th ed. Philadelphia W.B. Saunders, 1993; 1305–1330.
- 25 Fausa O, Schrumpf E, Elgjo K. Relationship of inflammatory bowel disease and primary sclerosing cholangitis. Semin Liver Dis 1991; 11: 31–39.
- 26 Bagley CM, Roth JA, Thomas LB, Devita VT. Liver biopsy in Hodgkin's disease. Ann Intern Med 1972; 76: 219–225.
- 27 Jaffe ES. Malignant lymphomas: pathology of hepatic involvement. Semin Liver Dis 1987; 7: 257–268.
- 28 Cavalli G, Casali AM, Lambertini F, Busachi C. Changes in the small biliary passages in the hepatic localization of Hodgkin's disease. Virchows Arch [A] 1979; 384: 295–306.
- 29 Jarrett RF, Gallagher A, Jones DB, Alexander FE, Krajewski AS, Kelsey A, Adams J, et al. Detection of Epstein-Barr virus genomes in Hodgkin's disease: relation to age. J Clin Pathol 1991; 44: 844–848.
- 30 Coli A, Bigotti G, Ferrone S. Histiocytosis X arising in Hodgkin's disease: immunophenotypic characterization with a panel of monoclonal antibodies. Virchows Arch [A] 1991; 418: 369–373.
- 31 Chapman RW. Aetiology and natural history of PSC: a decade of progress? Gut 1991; 32: 1433–1435.
- 32 Schrumpf E, Fause O, Forre O, Dobloug JH, Rithland S, Thornsby E. HLA antigens and immunoregulatory T cells in ulcerative colitis associated with hepatobiliary disease. Scand J Gastroenterol 1982; 17: 187–191.
- 33 Chapman RW. Role of immune factors in the pathogenesis of primary sclerosing cholangitis. Semin Liver Dis 1991; 11: 1–4.
- 34 Polson RJ, Neuberger J, Forman D, Calne R, Williams R. De novo malignancies after liver transplantation. Transplant Proc 1988; 20: 94–97.