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No history of smoking, alcoholism or familial dyslipidemia was evident. No history of liver disease was revealed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A ferropenic anemia was documented (hemoglobin: 9.8<span class="elsevierStyleHsp" style=""></span>g/dL, hematocrit: 32.9%), normal kidney function and in the liver profile showed cholestatic pattern (AST: 69<span class="elsevierStyleHsp" style=""></span>IU/L; ALT: 62<span class="elsevierStyleHsp" style=""></span>IU/L: total bilirubin: 1.6<span class="elsevierStyleHsp" style=""></span>mg/dL: direct bilirubin: 0.9<span class="elsevierStyleHsp" style=""></span>mg/dL, alkaline phosphatase: 1180<span class="elsevierStyleHsp" style=""></span>IU/L, gamma-glutamyl transferase: 551<span class="elsevierStyleHsp" style=""></span>IU/L). Serotypes for hepatotropic viruses were negative and the cholesterol level was 560<span class="elsevierStyleHsp" style=""></span>mg/dL, LDL: 497<span class="elsevierStyleHsp" style=""></span>mg/dL and erythrosedimentation: 144<span class="elsevierStyleHsp" style=""></span>mm/h. The presence of hepatic masses was ruled out with sonography and magnetic resonance.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Antinuclear and antimitochondrial antibodies were positive (11.4 and >100<span class="elsevierStyleHsp" style=""></span>U/mL, respectively), so the diagnosis of primary biliary cholangitis was made.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The confirmatory biopsy showed mononuclear inflammation in some portal spaces with absence of small bile ducts.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Álvarez Aguilar PA, Angulo Mora S. Xantomas y xantelasmas en colangitis biliar primaria. 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Journal Information
Vol. 153. Issue 1.
Pages 46 (July 2019)
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Vol. 153. Issue 1.
Pages 46 (July 2019)
Image in medicine
Xanthomas and xanthelasmas in primary biliary cholangitis
Xantomas y xantelasmas en colangitis biliar primaria
Pablo A. Álvarez Aguilar
, Sofía Angulo Mora
Corresponding author
Servicio de Medicina Interna, Hospital México, San José, Costa Rica
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