Cholangitis

Some patients with advanced HIV disease develop liver func­tion test abnormalities consistent with cholangitis. Endoscopic retrograde cholangiopancreatography in these patients reveals changes which are similar to sclerosing cholangitis (Fig. 9.9). The aetiology of this condition is not clearly established but it is thought that the inflammation has an infective basis, perhaps cytomegalovirus. Surgical treatment is not required.