II. Epidemiology

  1. Hepatomegaly occurs in 50% of AIDS patients

III. Differential Diagnosis of Hepatitis

  1. Diffuse hepatocellular disease
  2. Granulomatous hepatitis
  3. Sclerosing Cholangitis syndrome
    1. Cytomegalovirus
    2. Cryptosporidium
  4. Viral Hepatitis (accelerated course to liver failure)
    1. Hepatitis B
    2. Hepatitis C
  5. Cholestatic hepatitis (think occult infection)
    1. Mycobacterium Avium Complex (MAC)
    2. Mycobacterium tuberculosis
    3. Histoplasmosis,
    4. Coccidioidomycosis
    5. Cryptococcus
    6. Kaposi's Sarcoma
    7. Non-Hodgkin's Lymphoma
    8. HIV-associated Peliosis Hepatitis
    9. Drug induced cholestasis
    10. Steatosis (macrovesicular and microvesicular)

IV. Labs

  1. Viral Hepatitis serologies

V. Radiology

  1. Right Upper Quadrant Ultrasound
  2. CT Abdomen
  3. ERCP (indicated for signs of biliary obstruction)

Images: Related links to external sites (from Bing)

Related Studies (from Trip Database) Open in New Window