0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Familial Form of Benign Idiopathic Recurrent Cholestasis

David M. Goldberg, MB, PhD; Edward B. Hendry, MD, PhD
Arch Intern Med. 1967;120(5):556-564. doi:10.1001/archinte.1967.00300040040007.
Text Size: A A A
Published online

SINCE 1959, several reports have described a condition characterized by intrahepatic obstructive jaundice occurring at frequent intervals in the absence of any identifiable etiological factor.1-7 The condition may be distinguished from the congenital idiopathic hyperbilirubinemias of Gilbert and Lereboullet 8 and of Crigler and Najjar 9 by the fact that the bilirubin is predominantly in the conjugated form and the urine is heavily loaded with bile during episodes of jaundice. The serum bilirubin concentration is elevated beyond the range encountered in other idiopathic hyperbilirubinemias without conjugation defects, and the serum alkaline phosphatase (SAPase) activity is invariably abnormal when the patient is jaundiced, and sometimes grossly so, in contrast to the normal or low values usually found in the syndromes of Dubin and Johnson 10 and of Rotor.11 Unlike the Rotor syndrome, the histological appearance of the liver during an episode of jaundice is abnormal, but the "lipochrome-like material"

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();