Case Report

Primary Biliary Cirrhosis Accompanied by CREST Syndrome

Authors: GREGORY KOURAKLIS MD, ANDROMAHI GLINAVOU MD, GABRIEL KARATZAS MD

Abstract

&NA; CREST syndrome, a relatively benign, slowly progressive variant of systemic scleroderma consists of calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia. Although the association of this syndrome with primary biliary cirrhosis (PBC) is recognized in women, it has never been described in a man. We report the rare case of a male patient with CREST syndrome accompanied by PBC, manifested by acute cholecystitis and mild jaundice. The association of the two conditions is clinically and etiologically important. Clinicians must be aware of this association, since the clinical features of CREST syndrome may be mild and may be thought to be complications of the underlying liver disease.

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References