A woman with improving cholestasis but hepatitis aggravating

A young woman with cholestasis and ductopenia.

This patient was an 18-year-old woman with a history of psoriasis treated only with topical medication. No other conditions were recorded. She was the daughter of a patient who had undergone liver transplantation for liver cirrhosis secondary to chronic HCV infection and alcohol abuse. The patient presented with no symptoms but reported sporadic pain on her upper right quadrant of the abdomen. ...

Cholestasis within Neonatal Hepatitis

A young woman with multiple hypopigmented patches

A 33–year-old woman was visited at the dermatological clinic of Loghman-e-Hakim Hospital with multiple hypopigmented patches on her right arm, buttocks and flanks. Her lesions developed over the past year with no regression. Lesions were resistant to multiple antifungal therapies. Clinical examination revealed multiple circular or oval patches on the right arm, flank and sacral area. There was ...

A Pregnant Woman with Factor V Deficiency

Exfoliation, cholestasis, and apparent biliary sepsis in a woman with adult-onset diabetes.

In consultation the authors were requested to evaluate a middle-aged diabetic woman for an apparent episode of biliary sepsis. The patient had been admitted to the dermatology service with a four-day history of rash and pruritus. This was initially thought to represent an allergic reaction to dicloxacillin in someone with a previous history of penicillin hypersensitivity. Persistent right upper...