case_images: PMC7429806_01
case_images: Biochemical parameters. Blue arrow indicates the start of treatment with rifampicin. The green bar indicates the normal range of the different parameters.
case_images: CRIHEP2020-8872804.001.jpg
case_images: PMC7429806_01_CRIHEP2020-8872804.001.jpg
case_images: fig1
case_images: The arrows in Figure 1 demonstrate the effect of rifampicin; as soon as rifampicin was introduced, the patient reported substantial improvement in pruritus. Lymphocytes, eosinophils, and neutrophils were present in the portal areas indicating acute inflammation (Figure 2, arrow number 1).
case_images: Liver needle biopsy (20X magnification).
case_images: CRIHEP2020-8872804.002.jpg
case_images: PMC7429806_01_CRIHEP2020-8872804.002.jpg
case_images: fig2
case_images: Histological analysis of the ultrasound-acquired liver biopsy showed normal liver composition (Figure 2). Lymphocytes, eosinophils, and neutrophils were present in the portal areas indicating acute inflammation (Figure 2, arrow number 1). The images also show cholestasis with swollen periportal hepatocytes and bilirubin retention within hepatocytes (Figure 2, arrow number 2).