[HIV infection: findings in liver and bile ducts]

Important note: Information in this article was accurate in 1996. The state of the art may have changed since the publication date.

[HIV infection: findings in liver and bile ducts]

Bildgebung. 1995 Dec;62(4):260-70. Unique Identifier : AIDSLINE MED/96227396
Jablonowski H; Klinik fur Gastroenterologie, Hepatologie und Infektiologie,; Heinrich-Heine-Universitat, Dusseldorf, Deutschland.

Abstract: Gastrointestinal diseases in HIV-infected patients mainly affect the bowel, the oesophagus, and the liver. Most of the hepatic diseases are due to opportunistic infections and associated to AIDS. In the advanced AIDS disease Mycobacterium avium intracellulare is the most frequent bacterial infections agent. Mycobacterium tuberculosis is often diagnosed in less immunocompromised patients. Viral hepatitis (A, B, C, D) is more often diagnosed in HIV-infected patients than in non-infected controls. Non-Hodgkin's lymphoma of the liver is a relatively frequent tumour in HIV-infected patients. Kaposi's sarcoma may also affect the liver. Infections with the cytomegalovirus or cryptococci mainly affect the biliary system causing acalculous cholecystitis or secondary sclerosing cholangitis. In addition to clinical and laboratory diagnostics sonographic and computer tomographic examinations are important. The diagnostic power of sonographic and computer tomographic examinations can be increased by guided biopsies. Biliary diseases can be diagnosed by retrograde endoscopic diagnostic investigations (ERC, ERCP). This overview resumes the most important diagnostic and differential diagnostic data in HIV-associated liver and biliary tract diseases.

Keywords: AIDS-Related Opportunistic Infections/*DIAGNOSIS/PATHOLOGY Bile Duct Diseases/*DIAGNOSIS/PATHOLOGY Bile Duct Neoplasms/DIAGNOSIS/PATHOLOGY Bile Ducts/PATHOLOGY Biopsy *Diagnostic Imaging English Abstract Human HIV Infections/*DIAGNOSIS/PATHOLOGY Liver/PATHOLOGY Liver Diseases/*DIAGNOSIS/PATHOLOGY Liver Neoplasms/DIAGNOSIS/PATHOLOGY JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL
961030
M96A1408

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