Diagnostic diferential icter colestatic

Colestaza intrahepatica:
Hepatocelular hepatita virala, alcoolica, deficit de alfa1antitripsina, leptospiroza, toxic,
medicamente (metamizol, antidiabetice orale, fenotiazine), metabolic (hemocromatoza, Wilson)
Hepatocanalicular sepsis, neoplasm, anemie falciforma,
amiloidoza, colangita sclerozanta primitiva, sd Alagille.
Ductal ciroza biliara primitiva, sarcoidoza,
Vascular Budd Chiari, ischemie (stenoza de anastomoza post-transplant hepatic)
Secretie afectata: fibroza chistica, sd Dubin Johnson, sd Reye

Colestaza extrahepatica:
Stenoza ductelor biliare extrahepatice: calcul de duct biliar, stenoza papilei biliare,
inhibitori ai anhidrazei carbonice, neoplasm carcinom de duct biliar/papilar, stricturi,
paraziti Fasciola hepatica, Opistorchus felineus, Ascaris lumbricoides
Compresie externa duct biliar extrahepatic: pancreatita, sd Mirizzi, cancer pancreatic,
echinococoza hepatica, abces hepatic, abces duodenal, meta, limfoame
Altele: sd Caroli, colangita recidivanta, cryptosporidioza, cauze congenitale rare atrezie
biliara.