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Gastrointestinal
Diagnosis
Biliary System
Infection
AIDS Cholangiopathy
AIDS Cholangiopathy
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • AIDS- or HIV-related cholangitis, AIDS-related sclerosing cholangitis, AIDS-related cholangiopathy

          • Definitions

            • Spectrum of biliary inflammation caused by AIDS-related opportunistic infections leading to biliary strictures/obstruction or acalculous cholecystitis

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Naseer M et al: Epidemiology, determinants, and management of AIDS cholangiopathy: a review. World J Gastroenterol. 24(7):767-74, 2018
                                            2. Ponsioen CY: Diagnosis, differential diagnosis, and epidemiology of primary sclerosing cholangitis. Dig Dis. 33 Suppl 2:134-9, 2015
                                            3. Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
                                            4. Imam MH et al: Secondary sclerosing cholangitis: pathogenesis, diagnosis, and management. Clin Liver Dis. 17(2):269-77, 2013
                                            5. Tonolini M et al: HIV-related/AIDS cholangiopathy: pictorial review with emphasis on MRCP findings and differential diagnosis. Clin Imaging. 37(2):219-26, 2013
                                            6. Azizi L et al: MR Imaging of sclerosing cholangitis. Clin Res Hepatol Gastroenterol. 36(2):130-8, 2012
                                            7. Devarbhavi H et al: HIV/AIDS cholangiopathy: clinical spectrum, cholangiographic features and outcome in 30 patients. J Gastroenterol Hepatol. 25(10):1656-60, 2010
                                            8. Vermani N et al: MR cholangiopancreatographic demonstration of biliary tract abnormalities in AIDS cholangiopathy: report of two cases. Clin Radiol. 64(3):335-8, 2009
                                            9. Bilgin M et al: Hepatobiliary and pancreatic MRI and MRCP findings in patients with HIV infection. AJR Am J Roentgenol. 191(1):228-32, 2008
                                            10. Knowlton JQ et al: Imaging of biliary tract inflammation: an update. AJR Am J Roentgenol. 190(4):984-92, 2008
                                            11. Yusuf TE et al: AIDS cholangiopathy. Curr Treat Options Gastroenterol. 7(2):111-7, 2004
                                            12. Enns R: AIDS cholangiopathy: "an endangered disease". Am J Gastroenterol. 98(10):2111-2, 2003
                                            13. Ko WF et al: Prognostic factors for the survival of patients with AIDS cholangiopathy. Am J Gastroenterol. 98(10):2176-81, 2003
                                            14. Chen XM et al: Cryptosporidiosis and the pathogenesis of AIDS-cholangiopathy. Semin Liver Dis. 22(3):277-89, 2002
                                            15. Mukhopadhyay S et al: AIDS cholangiopathy as initial presentation of HIV infection. Trop Gastroenterol. 22(1):29-30, 2001
                                            16. Mahajani RV et al: Cholangiopathy in HIV-infected patients. Clin Liver Dis. 3(3):669-84, x, 1999
                                            17. Cello JP: AIDS-Related biliary tract disease. Gastrointest Endosc Clin N Am. 8(4):963, 1998
                                            18. Wilcox CM et al: Hepatobiliary diseases in patients with AIDS: focus on AIDS cholangiopathy and gallbladder disease. Dig Dis. 16(4):205-13, 1998
                                            19. Castiella A et al: Ursodeoxycholic acid in the treatment of AIDS-associated cholangiopathy. Am J Med. 103(2):170-1, 1997
                                            20. Lefkowitch JH: The liver in AIDS. Semin Liver Dis. 17(4):335-44, 1997
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • AIDS- or HIV-related cholangitis, AIDS-related sclerosing cholangitis, AIDS-related cholangiopathy

                                                    • Definitions

                                                      • Spectrum of biliary inflammation caused by AIDS-related opportunistic infections leading to biliary strictures/obstruction or acalculous cholecystitis

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Naseer M et al: Epidemiology, determinants, and management of AIDS cholangiopathy: a review. World J Gastroenterol. 24(7):767-74, 2018
                                                                                      2. Ponsioen CY: Diagnosis, differential diagnosis, and epidemiology of primary sclerosing cholangitis. Dig Dis. 33 Suppl 2:134-9, 2015
                                                                                      3. Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
                                                                                      4. Imam MH et al: Secondary sclerosing cholangitis: pathogenesis, diagnosis, and management. Clin Liver Dis. 17(2):269-77, 2013
                                                                                      5. Tonolini M et al: HIV-related/AIDS cholangiopathy: pictorial review with emphasis on MRCP findings and differential diagnosis. Clin Imaging. 37(2):219-26, 2013
                                                                                      6. Azizi L et al: MR Imaging of sclerosing cholangitis. Clin Res Hepatol Gastroenterol. 36(2):130-8, 2012
                                                                                      7. Devarbhavi H et al: HIV/AIDS cholangiopathy: clinical spectrum, cholangiographic features and outcome in 30 patients. J Gastroenterol Hepatol. 25(10):1656-60, 2010
                                                                                      8. Vermani N et al: MR cholangiopancreatographic demonstration of biliary tract abnormalities in AIDS cholangiopathy: report of two cases. Clin Radiol. 64(3):335-8, 2009
                                                                                      9. Bilgin M et al: Hepatobiliary and pancreatic MRI and MRCP findings in patients with HIV infection. AJR Am J Roentgenol. 191(1):228-32, 2008
                                                                                      10. Knowlton JQ et al: Imaging of biliary tract inflammation: an update. AJR Am J Roentgenol. 190(4):984-92, 2008
                                                                                      11. Yusuf TE et al: AIDS cholangiopathy. Curr Treat Options Gastroenterol. 7(2):111-7, 2004
                                                                                      12. Enns R: AIDS cholangiopathy: "an endangered disease". Am J Gastroenterol. 98(10):2111-2, 2003
                                                                                      13. Ko WF et al: Prognostic factors for the survival of patients with AIDS cholangiopathy. Am J Gastroenterol. 98(10):2176-81, 2003
                                                                                      14. Chen XM et al: Cryptosporidiosis and the pathogenesis of AIDS-cholangiopathy. Semin Liver Dis. 22(3):277-89, 2002
                                                                                      15. Mukhopadhyay S et al: AIDS cholangiopathy as initial presentation of HIV infection. Trop Gastroenterol. 22(1):29-30, 2001
                                                                                      16. Mahajani RV et al: Cholangiopathy in HIV-infected patients. Clin Liver Dis. 3(3):669-84, x, 1999
                                                                                      17. Cello JP: AIDS-Related biliary tract disease. Gastrointest Endosc Clin N Am. 8(4):963, 1998
                                                                                      18. Wilcox CM et al: Hepatobiliary diseases in patients with AIDS: focus on AIDS cholangiopathy and gallbladder disease. Dig Dis. 16(4):205-13, 1998
                                                                                      19. Castiella A et al: Ursodeoxycholic acid in the treatment of AIDS-associated cholangiopathy. Am J Med. 103(2):170-1, 1997
                                                                                      20. Lefkowitch JH: The liver in AIDS. Semin Liver Dis. 17(4):335-44, 1997