Difficult differential diagnosis of liver damage in an elderly patient with true polycythemia (erythremia)

Abstract

The article presents a clinical case of combined liver damage in an elderly patient. On the one hand, monochemotherapy with cytostatics for true polycythemia (erythremia) became a probable cause of liver damage by the type of destructive cholangitis, and possibly provoked the development of AMAM2-positive primary biliary cirrhosis. On the other hand, on the background of subcompensation of the underlying disease, difficulties arose with verification of the Genesis of rapidly developed portal hypertension.